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FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameFAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN
Plan identification number 001

FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING 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.
  • 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.
  • 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

FAIR OAKS HEALTH SYSTEMS, LLC has sponsored the creation of one or more 401k plans.

Company Name:FAIR OAKS HEALTH SYSTEMS, LLC
Employer identification number (EIN):611341439
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01JO BETH M. WOLFORD
0012016-01-01JO BETH WOLFORD
0012015-01-01JO BETH WOLFORD
0012015-01-01JO BETH WOLFORD
0012014-01-01CHRIS MINNICH
0012013-01-01CHRIS MINNICH
0012012-01-01CHRIS MINNICH
0012011-01-01CHRIS MINNICH2012-10-12
0012010-01-01CHRIS MINNICH2011-07-20
0012009-01-01JO BETH WOLFORD

Plan Statistics for FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN

Measure Date Value
2020: FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01119
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-010
Number of participants with account balances2020-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01129
Total number of active participants reported on line 7a of the Form 55002019-01-01108
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-014
Total of all active and inactive participants2019-01-01112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01112
Number of participants with account balances2019-01-0157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01120
Total number of active participants reported on line 7a of the Form 55002018-01-01106
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0111
Total of all active and inactive participants2018-01-01117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01117
Number of participants with account balances2018-01-0163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01108
Total number of active participants reported on line 7a of the Form 55002017-01-0197
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0110
Total of all active and inactive participants2017-01-01107
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01107
Number of participants with account balances2017-01-0157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-011
2016: FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01156
Total number of active participants reported on line 7a of the Form 55002016-01-0194
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-015
Total of all active and inactive participants2016-01-0199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0199
Number of participants with account balances2016-01-0156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01157
Total number of active participants reported on line 7a of the Form 55002015-01-01102
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0142
Total of all active and inactive participants2015-01-01144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01144
Number of participants with account balances2015-01-0198
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01157
Total number of active participants reported on line 7a of the Form 55002014-01-01121
Number of retired or separated participants receiving benefits2014-01-019
Number of other retired or separated participants entitled to future benefits2014-01-0118
Total of all active and inactive participants2014-01-01148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01148
Number of participants with account balances2014-01-01102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-012
2013: FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01145
Total number of active participants reported on line 7a of the Form 55002013-01-01121
Number of retired or separated participants receiving benefits2013-01-019
Number of other retired or separated participants entitled to future benefits2013-01-0115
Total of all active and inactive participants2013-01-01145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-01146
Number of participants with account balances2013-01-01106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-012
2012: FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01127
Total number of active participants reported on line 7a of the Form 55002012-01-01108
Number of retired or separated participants receiving benefits2012-01-019
Number of other retired or separated participants entitled to future benefits2012-01-0117
Total of all active and inactive participants2012-01-01134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01134
Number of participants with account balances2012-01-01116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-017
2009: FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01105
Total number of active participants reported on line 7a of the Form 55002009-01-0179
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0121
Total of all active and inactive participants2009-01-01100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-011
Total participants2009-01-01101
Number of participants with account balances2009-01-0199
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0111

Financial Data on FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN

Measure Date Value
2020 : FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-04-29$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-04-29$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-04-29$0
Total income from all sources (including contributions)2020-04-29$-30,689
Total loss/gain on sale of assets2020-04-29$0
Total of all expenses incurred2020-04-29$2,019,653
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-04-29$2,005,586
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-04-29$66,257
Value of total assets at end of year2020-04-29$0
Value of total assets at beginning of year2020-04-29$2,050,342
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-04-29$14,067
Total interest from all sources2020-04-29$796
Total dividends received (eg from common stock, registered investment company shares)2020-04-29$7,919
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-04-29Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2020-04-29$0
Total dividends received from registered investment company shares (eg mutual funds)2020-04-29$7,919
Was this plan covered by a fidelity bond2020-04-29Yes
Value of fidelity bond cover2020-04-29$200,000
If this is an individual account plan, was there a blackout period2020-04-29No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-04-29$0
Were there any nonexempt tranactions with any party-in-interest2020-04-29No
Contributions received from participants2020-04-29$58,736
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-04-29No
Value of net income/loss2020-04-29$-2,050,342
Value of net assets at end of year (total assets less liabilities)2020-04-29$0
Value of net assets at beginning of year (total assets less liabilities)2020-04-29$2,050,342
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-04-29No
Were any loans by the plan or fixed income obligations due to the plan in default2020-04-29No
Were any leases to which the plan was party in default or uncollectible2020-04-29No
Investment advisory and management fees2020-04-29$4,719
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-04-29$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-04-29$1,835,395
Interest on participant loans2020-04-29$0
Income. Interest from loans (other than to participants)2020-04-29$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-04-29$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-04-29$214,947
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-04-29$214,947
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-04-29$796
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-04-29$-105,661
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-04-29No
Was there a failure to transmit to the plan any participant contributions2020-04-29No
Has the plan failed to provide any benefit when due under the plan2020-04-29No
Contributions received in cash from employer2020-04-29$7,521
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-04-29$2,005,586
Contract administrator fees2020-04-29$9,348
Did the plan have assets held for investment2020-04-29No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-04-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-04-29Yes
Opinion of an independent qualified public accountant for this plan2020-04-29Disclaimer
Accountancy firm name2020-04-29BESTEN & DIERUF, PLLC
Accountancy firm EIN2020-04-29453048812
2019 : FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$476,836
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$96,061
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$75,602
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$164,841
Value of total assets at end of year2019-12-31$2,050,342
Value of total assets at beginning of year2019-12-31$1,669,567
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$20,459
Total interest from all sources2019-12-31$4,415
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$41,547
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$41,547
Administrative expenses professional fees incurred2019-12-31$6,500
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$200,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$104,162
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$380,775
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,050,342
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,669,567
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$7,267
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$1,835,395
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$1,492,298
Interest on participant loans2019-12-31$0
Income. Interest from loans (other than to participants)2019-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$214,947
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$177,269
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$177,269
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$4,415
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$266,033
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$60,679
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$75,602
Contract administrator fees2019-12-31$6,692
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31BESTEN & DIERUF, PLLC
Accountancy firm EIN2019-12-31453048812
2018 : FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$94,315
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$154,652
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$135,314
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$140,809
Value of total assets at end of year2018-12-31$1,669,567
Value of total assets at beginning of year2018-12-31$1,729,904
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$19,338
Total interest from all sources2018-12-31$3,699
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$32,730
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$32,730
Administrative expenses professional fees incurred2018-12-31$6,500
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$200,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$84,985
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-60,337
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,669,567
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,729,904
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$6,733
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$1,492,298
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$1,461,864
Interest on participant loans2018-12-31$0
Income. Interest from loans (other than to participants)2018-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$177,269
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$268,040
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$268,040
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$3,699
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-82,923
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$55,824
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$135,314
Contract administrator fees2018-12-31$6,105
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31BESTEN & DIERUF, PLLC
Accountancy firm EIN2018-12-31453048812
2017 : FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$342,953
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$215,243
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$195,729
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$143,445
Value of total assets at end of year2017-12-31$1,729,904
Value of total assets at beginning of year2017-12-31$1,602,194
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$19,514
Total interest from all sources2017-12-31$2,938
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$29,044
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$29,044
Administrative expenses professional fees incurred2017-12-31$6,450
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$170,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$92,058
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$127,710
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,729,904
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,602,194
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$6,642
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$1,461,864
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$1,292,842
Interest on participant loans2017-12-31$0
Income. Interest from loans (other than to participants)2017-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$268,040
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$309,352
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$309,352
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$2,938
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$167,526
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$51,387
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$195,729
Contract administrator fees2017-12-31$6,422
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31ENDERLE BESTEN DIERUF, PLLC
Accountancy firm EIN2017-12-31453048812
2016 : FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$233,165
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$163,125
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$140,558
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$142,467
Value of total assets at end of year2016-12-31$1,602,194
Value of total assets at beginning of year2016-12-31$1,532,154
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$22,567
Total interest from all sources2016-12-31$1,672
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$27,442
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$27,442
Administrative expenses professional fees incurred2016-12-31$6,450
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$170,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$91,261
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$70,040
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,602,194
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,532,154
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$6,191
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$1,292,842
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$1,167,407
Interest on participant loans2016-12-31$0
Income. Interest from loans (other than to participants)2016-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$309,352
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$364,747
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$364,747
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$1,672
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$61,584
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$51,206
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$140,558
Contract administrator fees2016-12-31$9,926
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31ENDERLE BESTEN DIERUF, PLLC
Accountancy firm EIN2016-12-31453048812
2015 : FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$135,927
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$59,466
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$50,488
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$129,583
Value of total assets at end of year2015-12-31$1,532,154
Value of total assets at beginning of year2015-12-31$1,455,693
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$8,978
Total interest from all sources2015-12-31$191
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$18,646
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$18,646
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$150,000
If this is an individual account plan, was there a blackout period2015-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$83,701
Participant contributions at end of year2015-12-31$0
Participant contributions at beginning of year2015-12-31$1,671
Other income not declared elsewhere2015-12-31$0
Administrative expenses (other) incurred2015-12-31$3,789
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$76,461
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,532,154
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,455,693
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$1,917
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$1,167,407
Value of interest in pooled separate accounts at end of year2015-12-31$0
Value of interest in pooled separate accounts at beginning of year2015-12-31$1,123,447
Interest on participant loans2015-12-31$0
Income. Interest from loans (other than to participants)2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$364,747
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$191
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$329,536
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-53,935
Net investment gain/loss from pooled separate accounts2015-12-31$41,442
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$45,882
Employer contributions (assets) at end of year2015-12-31$0
Employer contributions (assets) at beginning of year2015-12-31$1,039
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$50,488
Contract administrator fees2015-12-31$3,272
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31Yes
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31ENDERLE BESTEN DIERUF, PLLC
Accountancy firm EIN2015-12-31453048812
2014 : FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$167,770
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$174,588
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$157,019
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$95,046
Value of total assets at end of year2014-12-31$1,455,693
Value of total assets at beginning of year2014-12-31$1,462,511
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$17,569
Total interest from all sources2014-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$150,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$53,369
Participant contributions at end of year2014-12-31$1,671
Participant contributions at beginning of year2014-12-31$1,370
Total non interest bearing cash at end of year2014-12-31$0
Total non interest bearing cash at beginning of year2014-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-6,818
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,455,693
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,462,511
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in pooled separate accounts at end of year2014-12-31$1,123,447
Value of interest in pooled separate accounts at beginning of year2014-12-31$1,115,187
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$329,536
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$344,992
Net investment gain/loss from pooled separate accounts2014-12-31$72,724
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$41,677
Employer contributions (assets) at end of year2014-12-31$1,039
Employer contributions (assets) at beginning of year2014-12-31$962
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$157,019
Contract administrator fees2014-12-31$17,569
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31ENDERLE & COMPANY PLLC
Accountancy firm EIN2014-12-31453048812
2013 : FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$321,814
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$124,766
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$111,438
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$125,308
Value of total assets at end of year2013-12-31$1,462,511
Value of total assets at beginning of year2013-12-31$1,265,463
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$13,328
Total interest from all sources2013-12-31$5,909
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$150,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$50,023
Participant contributions at end of year2013-12-31$1,370
Participant contributions at beginning of year2013-12-31$1,533
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$31,175
Administrative expenses (other) incurred2013-12-31$13,328
Total non interest bearing cash at end of year2013-12-31$0
Total non interest bearing cash at beginning of year2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$197,048
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,462,511
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,265,463
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in pooled separate accounts at end of year2013-12-31$1,115,187
Value of interest in pooled separate accounts at beginning of year2013-12-31$925,530
Interest earned on other investments2013-12-31$5,909
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$344,992
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$337,348
Net investment gain or loss from common/collective trusts2013-12-31$190,597
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$44,110
Employer contributions (assets) at end of year2013-12-31$962
Employer contributions (assets) at beginning of year2013-12-31$1,052
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$111,438
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31ENDERLE & COMPANY PLLC
Accountancy firm EIN2013-12-31453048812
2012 : FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$214,659
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$168,125
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$155,674
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$71,868
Value of total assets at end of year2012-12-31$1,265,463
Value of total assets at beginning of year2012-12-31$1,218,929
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$12,451
Total interest from all sources2012-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$150,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$38,958
Participant contributions at end of year2012-12-31$1,052
Participant contributions at beginning of year2012-12-31$1,337
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$2,978
Administrative expenses (other) incurred2012-12-31$12,451
Total non interest bearing cash at end of year2012-12-31$0
Total non interest bearing cash at beginning of year2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$46,534
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,265,463
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,218,929
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in pooled separate accounts at end of year2012-12-31$925,530
Value of interest in pooled separate accounts at beginning of year2012-12-31$808,290
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$337,348
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$408,140
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$142,791
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$29,932
Employer contributions (assets) at end of year2012-12-31$1,533
Employer contributions (assets) at beginning of year2012-12-31$1,162
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$155,674
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31ENDERLE & COMPANY PLLC
Accountancy firm EIN2012-12-31453048812
2009 : FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year2009-12-31$0
Minimum employer required contribution for this plan year2009-12-31$0
Amount contributed by the employer to the plan for this plan year2009-12-31$0

Form 5500 Responses for FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN

2020: FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingYes
2020-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedYes
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2009: FAIR OAKS HEALTH SYSTEMS, LLC 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
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

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number600795-000
Policy instance 1
Insurance contract or identification number600795-000
Number of Individuals Covered0
Insurance policy start date2015-01-01
Insurance policy end date2015-06-01
Total amount of commissions paid to insurance brokerUSD $1,838
Total amount of fees paid to insurance companyUSD $1,833
Are there contracts with allocated funds for individual policies?No
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
Commission paid to Insurance BrokerUSD $1,838
Insurance broker organization code?3
Amount paid for insurance broker fees925
Additional information about fees paid to insurance brokerRECORDKEEPING
Insurance broker nameBENEFITS ADMINISTRATORS, LLC
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number600795-000
Policy instance 1
Insurance contract or identification number600795-000
Number of Individuals Covered102
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,838
Total amount of fees paid to insurance companyUSD $1,833
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?Yes
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
Commission paid to Insurance BrokerUSD $1,838
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerFINANCIAL ADVISOR
Insurance broker organization code?3
Insurance broker nameBENEFITS ADMINISTRATORS, LLC
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number600795-000
Policy instance 1
Insurance contract or identification number600795-000
Number of Individuals Covered146
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $4,052
Total amount of fees paid to insurance companyUSD $3,303
Are there contracts with allocated funds for individual policies?No
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
Commission paid to Insurance BrokerUSD $4,052
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerFINANCIAL ADVISOR
Insurance broker organization code?3
Insurance broker nameBENEFITS ADMINISTRATORS, LLC
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number600795-000
Policy instance 1
Insurance contract or identification number600795-000
Number of Individuals Covered116
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $6,812
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
Commission paid to Insurance BrokerUSD $3,721
Insurance broker organization code?3
Insurance broker nameBENEFITS ADMINISTRATORS, LLC

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