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COMPLETE CARE, INC. 401(K) PLAN 401k Plan overview

Plan NameCOMPLETE CARE, INC. 401(K) PLAN
Plan identification number 001

COMPLETE CARE, INC. 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • 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

COMPLETE CARE, INC. has sponsored the creation of one or more 401k plans.

Company Name:COMPLETE CARE, INC.
Employer identification number (EIN):630897013
NAIC Classification:446190

Additional information about COMPLETE CARE, INC.

Jurisdiction of Incorporation: Alabama Secretary of State
Incorporation Date: 1984-12-13
Company Identification Number: 101-371
Legal Registered Office Address: ROUTE 1 PISGAH,


United States of America (USA)
35765

More information about COMPLETE CARE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMPLETE CARE, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-12-01LEIGH ANN MATTHEWS2023-06-28
0012020-12-01LEIGH ANN MATTHEWS2022-03-02 LEIGH ANN MATTHEWS2022-03-02
0012019-12-01LEIGH ANN MATTHEWS2021-04-09 LEIGH ANN MATTHEWS2021-04-09
0012018-12-01LEIGH ANN MATTHEWS2020-04-23 LEIGH ANN MATTHEWS2020-04-23
0012017-12-01LEIGH ANN MATTHEWS2019-05-17 LEIGH ANN MATTHEWS2019-05-17
0012016-12-01LEIGH ANN MATTHEWS2018-05-18 LEIGH ANN MATTHEWS2018-05-18
0012015-12-01LEIGH ANN MATTHEWS2017-04-11 LEIGH ANN MATTHEWS2017-04-11
0012014-12-01LEIGH ANN MATTHEWS LEIGH ANN MATTHEWS2016-05-09
0012013-12-01LEIGH ANN MATTHEWS LEIGH ANN MATTHEWS2016-04-18
0012012-12-01LEIGH ANN MATTHEWS
0012011-12-01LEIGH ANN MATTHEWS
0012009-12-01LEIGH ANN MATTHEWS
0012008-12-01

Plan Statistics for COMPLETE CARE, INC. 401(K) PLAN

401k plan membership statisitcs for COMPLETE CARE, INC. 401(K) PLAN

Measure Date Value
2014: COMPLETE CARE, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-12-0120
Total number of active participants reported on line 7a of the Form 55002014-12-0118
Number of retired or separated participants receiving benefits2014-12-010
Number of other retired or separated participants entitled to future benefits2014-12-011
Total of all active and inactive participants2014-12-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-12-010
Total participants2014-12-0119
Number of participants with account balances2014-12-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-12-010
2013: COMPLETE CARE, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-12-0117
Total number of active participants reported on line 7a of the Form 55002013-12-0114
Number of retired or separated participants receiving benefits2013-12-010
Number of other retired or separated participants entitled to future benefits2013-12-013
Total of all active and inactive participants2013-12-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-12-010
Total participants2013-12-0117
Number of participants with account balances2013-12-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-12-010
2012: COMPLETE CARE, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-12-0116
Total number of active participants reported on line 7a of the Form 55002012-12-0116
Number of retired or separated participants receiving benefits2012-12-010
Number of other retired or separated participants entitled to future benefits2012-12-011
Total of all active and inactive participants2012-12-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-12-010
Total participants2012-12-0117
Number of participants with account balances2012-12-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-12-010
2011: COMPLETE CARE, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-12-0117
Total number of active participants reported on line 7a of the Form 55002011-12-0115
Number of retired or separated participants receiving benefits2011-12-010
Number of other retired or separated participants entitled to future benefits2011-12-011
Total of all active and inactive participants2011-12-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-12-010
Total participants2011-12-0116
Number of participants with account balances2011-12-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-12-010
2009: COMPLETE CARE, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-12-010
Total number of active participants reported on line 7a of the Form 55002009-12-0117
Number of retired or separated participants receiving benefits2009-12-010
Number of other retired or separated participants entitled to future benefits2009-12-011
Total of all active and inactive participants2009-12-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-12-010
Total participants2009-12-0118
Number of participants with account balances2009-12-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-12-010

Financial Data on COMPLETE CARE, INC. 401(K) PLAN

Measure Date Value
2015 : COMPLETE CARE, INC. 401(K) PLAN 2015 401k financial data
Total income from all sources2015-11-30$42,119
Expenses. Total of all expenses incurred2015-11-30$44,614
Benefits paid (including direct rollovers)2015-11-30$44,337
Total plan assets at end of year2015-11-30$797,292
Total plan assets at beginning of year2015-11-30$799,787
Value of fidelity bond covering the plan2015-11-30$75,000
Total contributions received or receivable from participants2015-11-30$59,341
Expenses. Other expenses not covered elsewhere2015-11-30$277
Contributions received from other sources (not participants or employers)2015-11-30$0
Other income received2015-11-30$-17,222
Net income (gross income less expenses)2015-11-30$-2,495
Net plan assets at end of year (total assets less liabilities)2015-11-30$797,292
Net plan assets at beginning of year (total assets less liabilities)2015-11-30$799,787
Assets. Value of participant loans2015-11-30$67,695
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022015-11-30$21,355
Total contributions received or receivable from employer(s)2015-11-30$0
Value of certain deemed distributions of participant loans2015-11-30$0
Value of corrective distributions2015-11-30$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-11-30$0
2014 : COMPLETE CARE, INC. 401(K) PLAN 2014 401k financial data
Transfers to/from the plan2014-11-30$0
Total income from all sources2014-11-30$44,534
Expenses. Total of all expenses incurred2014-11-30$57,007
Benefits paid (including direct rollovers)2014-11-30$56,609
Total plan assets at end of year2014-11-30$799,787
Total plan assets at beginning of year2014-11-30$812,260
Value of fidelity bond covering the plan2014-11-30$75,000
Total contributions received or receivable from participants2014-11-30$12,398
Expenses. Other expenses not covered elsewhere2014-11-30$398
Contributions received from other sources (not participants or employers)2014-11-30$0
Other income received2014-11-30$32,136
Net income (gross income less expenses)2014-11-30$-12,473
Net plan assets at end of year (total assets less liabilities)2014-11-30$799,787
Net plan assets at beginning of year (total assets less liabilities)2014-11-30$812,260
Assets. Value of participant loans2014-11-30$95,911
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022014-11-30$21,078
Total contributions received or receivable from employer(s)2014-11-30$0
Value of certain deemed distributions of participant loans2014-11-30$0
Value of corrective distributions2014-11-30$0
Funding deficiency by the employer to the plan for this plan year2014-11-30$0
Minimum employer required contribution for this plan year2014-11-30$0
Amount contributed by the employer to the plan for this plan year2014-11-30$0
2013 : COMPLETE CARE, INC. 401(K) PLAN 2013 401k financial data
Transfers to/from the plan2013-11-30$0
Total income from all sources2013-11-30$68,730
Expenses. Total of all expenses incurred2013-11-30$3,283
Benefits paid (including direct rollovers)2013-11-30$2,993
Total plan assets at end of year2013-11-30$812,260
Total plan assets at beginning of year2013-11-30$746,813
Value of fidelity bond covering the plan2013-11-30$75,000
Total contributions received or receivable from participants2013-11-30$13,091
Expenses. Other expenses not covered elsewhere2013-11-30$290
Contributions received from other sources (not participants or employers)2013-11-30$0
Other income received2013-11-30$55,639
Net income (gross income less expenses)2013-11-30$65,447
Net plan assets at end of year (total assets less liabilities)2013-11-30$812,260
Net plan assets at beginning of year (total assets less liabilities)2013-11-30$746,813
Assets. Value of participant loans2013-11-30$18,427
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022013-11-30$21,152
Total contributions received or receivable from employer(s)2013-11-30$0
Value of certain deemed distributions of participant loans2013-11-30$0
Value of corrective distributions2013-11-30$0
Funding deficiency by the employer to the plan for this plan year2013-11-30$0
Minimum employer required contribution for this plan year2013-11-30$0
Amount contributed by the employer to the plan for this plan year2013-11-30$0
2012 : COMPLETE CARE, INC. 401(K) PLAN 2012 401k financial data
Transfers to/from the plan2012-11-30$0
Total income from all sources2012-11-30$70,854
Expenses. Total of all expenses incurred2012-11-30$20,869
Benefits paid (including direct rollovers)2012-11-30$20,577
Total plan assets at end of year2012-11-30$746,814
Total plan assets at beginning of year2012-11-30$696,829
Value of fidelity bond covering the plan2012-11-30$75,000
Total contributions received or receivable from participants2012-11-30$16,664
Expenses. Other expenses not covered elsewhere2012-11-30$292
Contributions received from other sources (not participants or employers)2012-11-30$0
Other income received2012-11-30$54,190
Net income (gross income less expenses)2012-11-30$49,985
Net plan assets at end of year (total assets less liabilities)2012-11-30$746,814
Net plan assets at beginning of year (total assets less liabilities)2012-11-30$696,829
Assets. Value of participant loans2012-11-30$27,529
Total contributions received or receivable from employer(s)2012-11-30$0
Value of certain deemed distributions of participant loans2012-11-30$0
Value of corrective distributions2012-11-30$0
Funding deficiency by the employer to the plan for this plan year2012-11-30$0
Minimum employer required contribution for this plan year2012-11-30$0
Amount contributed by the employer to the plan for this plan year2012-11-30$0
2010 : COMPLETE CARE, INC. 401(K) PLAN 2010 401k financial data
Funding deficiency by the employer to the plan for this plan year2010-11-30$0
Minimum employer required contribution for this plan year2010-11-30$0
Amount contributed by the employer to the plan for this plan year2010-11-30$0

Form 5500 Responses for COMPLETE CARE, INC. 401(K) PLAN

2014: COMPLETE CARE, INC. 401(K) PLAN 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Submission has been amendedNo
2014-12-01This submission is the final filingNo
2014-12-01This return/report is a short plan year return/report (less than 12 months)No
2014-12-01Plan is a collectively bargained planNo
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan funding arrangement – TrustYes
2014-12-01Plan benefit arrangement – InsuranceYes
2013: COMPLETE CARE, INC. 401(K) PLAN 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01Submission has been amendedYes
2013-12-01This submission is the final filingNo
2013-12-01This return/report is a short plan year return/report (less than 12 months)No
2013-12-01Plan is a collectively bargained planNo
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan funding arrangement – TrustYes
2013-12-01Plan benefit arrangement – InsuranceYes
2012: COMPLETE CARE, INC. 401(K) PLAN 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Submission has been amendedNo
2012-12-01This submission is the final filingNo
2012-12-01This return/report is a short plan year return/report (less than 12 months)No
2012-12-01Plan is a collectively bargained planNo
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan funding arrangement – TrustYes
2012-12-01Plan benefit arrangement – InsuranceYes
2011: COMPLETE CARE, INC. 401(K) PLAN 2011 form 5500 responses
2011-12-01Type of plan entitySingle employer plan
2011-12-01Submission has been amendedNo
2011-12-01This submission is the final filingNo
2011-12-01This return/report is a short plan year return/report (less than 12 months)No
2011-12-01Plan is a collectively bargained planNo
2011-12-01Plan funding arrangement – InsuranceYes
2011-12-01Plan funding arrangement – TrustYes
2011-12-01Plan benefit arrangement – InsuranceYes
2009: COMPLETE CARE, INC. 401(K) PLAN 2009 form 5500 responses
2009-12-01Type of plan entitySingle employer plan
2009-12-01Submission has been amendedNo
2009-12-01This submission is the final filingNo
2009-12-01This return/report is a short plan year return/report (less than 12 months)No
2009-12-01Plan is a collectively bargained planNo
2009-12-01Plan funding arrangement – InsuranceYes
2009-12-01Plan funding arrangement – TrustYes
2009-12-01Plan benefit arrangement – InsuranceYes
2008: COMPLETE CARE, INC. 401(K) PLAN 2008 form 5500 responses
2008-12-01Type of plan entitySingle employer plan
2008-12-01Submission has been amendedNo
2008-12-01This submission is the final filingNo
2008-12-01This return/report is a short plan year return/report (less than 12 months)No
2008-12-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-801111
Policy instance 1
Insurance contract or identification numberGA-801111
Number of Individuals Covered14
Insurance policy start date2014-12-01
Insurance policy end date2015-11-30
Total amount of commissions paid to insurance brokerUSD $2,119
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 $2,119
Insurance broker organization code?3
Insurance broker nameWELLS FARGO ADVISORS INS AGENCY, LL
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-801111
Policy instance 1
Insurance contract or identification numberGA-801111
Number of Individuals Covered16
Insurance policy start date2013-12-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $1,816
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 $1,816
Insurance broker organization code?3
Insurance broker nameWELLS FARGO ADVISORS INS AGENCY, LL
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-801111
Policy instance 1
Insurance contract or identification numberGA-801111
Number of Individuals Covered16
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $1,754
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 $1,754
Insurance broker organization code?3
Insurance broker nameWELLS FARGO ADVISORS INS AGY
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-801111
Policy instance 1
Insurance contract or identification numberGA-801111
Number of Individuals Covered15
Insurance policy start date2011-12-01
Insurance policy end date2012-11-30
Total amount of commissions paid to insurance brokerUSD $1,637
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

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