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CAMELLIA HEALTHCARE 401(K) PLAN 401k Plan overview

Plan NameCAMELLIA HEALTHCARE 401(K) PLAN
Plan identification number 001

CAMELLIA HEALTHCARE 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MEDICAL SYSTEMS INC, CAMELLIA HEALTHCARE has sponsored the creation of one or more 401k plans.

Company Name:MEDICAL SYSTEMS INC, CAMELLIA HEALTHCARE
Employer identification number (EIN):640559028
NAIC Classification:621610
NAIC Description:Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAMELLIA HEALTHCARE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012018-01-01
0012017-01-01ANTHONY ALAN BLAKENEY
0012016-01-01ANTHONY ALAN BLAKENEY ANTHONY ALAN BLAKENEY2017-10-13
0012015-01-01ALAN BLAKENEY ALAN BLAKENEY2016-10-14
0012014-01-01ALAN BLAKENEY
0012013-01-01JENNIFER CAVENY
0012012-01-01JENNIFER CAVENY JENNIFER CAVENY2013-10-14
0012011-01-01JENNIFER CAVENY
0012010-01-01JENNIFER CAVENY
0012009-01-01 JENNIFER CAVENY2010-10-14
0012009-01-01JENNIFER CAVENY

Plan Statistics for CAMELLIA HEALTHCARE 401(K) PLAN

401k plan membership statisitcs for CAMELLIA HEALTHCARE 401(K) PLAN

Measure Date Value
2018: CAMELLIA HEALTHCARE 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,617
Total number of active participants reported on line 7a of the Form 55002018-01-01312
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01312
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01312
Number of participants with account balances2018-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0121
2017: CAMELLIA HEALTHCARE 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,504
Total number of active participants reported on line 7a of the Form 55002017-01-011,491
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-01125
Total of all active and inactive participants2017-01-011,616
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-011,616
Number of participants with account balances2017-01-011,173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0114
2016: CAMELLIA HEALTHCARE 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,386
Total number of active participants reported on line 7a of the Form 55002016-01-011,399
Number of retired or separated participants receiving benefits2016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-01103
Total of all active and inactive participants2016-01-011,503
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-011,503
Number of participants with account balances2016-01-011,059
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-01200
2015: CAMELLIA HEALTHCARE 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,391
Total number of active participants reported on line 7a of the Form 55002015-01-011,313
Number of retired or separated participants receiving benefits2015-01-012
Number of other retired or separated participants entitled to future benefits2015-01-0171
Total of all active and inactive participants2015-01-011,386
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-011,386
Number of participants with account balances2015-01-01996
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-01154
2014: CAMELLIA HEALTHCARE 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,331
Total number of active participants reported on line 7a of the Form 55002014-01-011,182
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-01207
Total of all active and inactive participants2014-01-011,389
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-012
Total participants2014-01-011,391
Number of participants with account balances2014-01-011,065
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0145
2013: CAMELLIA HEALTHCARE 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,501
Total number of active participants reported on line 7a of the Form 55002013-01-011,165
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-01164
Total of all active and inactive participants2013-01-011,329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-012
Total participants2013-01-011,331
Number of participants with account balances2013-01-011,018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0139
2012: CAMELLIA HEALTHCARE 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,368
Total number of active participants reported on line 7a of the Form 55002012-01-011,161
Number of retired or separated participants receiving benefits2012-01-011
Number of other retired or separated participants entitled to future benefits2012-01-01336
Total of all active and inactive participants2012-01-011,498
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-013
Total participants2012-01-011,501
Number of participants with account balances2012-01-01902
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0172
2011: CAMELLIA HEALTHCARE 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,150
Total number of active participants reported on line 7a of the Form 55002011-01-011,105
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-01259
Total of all active and inactive participants2011-01-011,364
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-014
Total participants2011-01-011,368
Number of participants with account balances2011-01-01864
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0174
2010: CAMELLIA HEALTHCARE 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01682
Total number of active participants reported on line 7a of the Form 55002010-01-01928
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-01220
Total of all active and inactive participants2010-01-011,148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-012
Total participants2010-01-011,150
Number of participants with account balances2010-01-01826
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-0140
2009: CAMELLIA HEALTHCARE 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01578
Total number of active participants reported on line 7a of the Form 55002009-01-01513
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-01168
Total of all active and inactive participants2009-01-01681
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-011
Total participants2009-01-01682
Number of participants with account balances2009-01-01590
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0129

Financial Data on CAMELLIA HEALTHCARE 401(K) PLAN

Measure Date Value
2018 : CAMELLIA HEALTHCARE 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-10-09$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-10-09$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-10-09$0
Total income from all sources (including contributions)2018-10-09$1,197,954
Total loss/gain on sale of assets2018-10-09$0
Total of all expenses incurred2018-10-09$19,611,647
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-10-09$19,529,750
Expenses. Certain deemed distributions of participant loans2018-10-09$1,947
Value of total corrective distributions2018-10-09$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-10-09$1,243,133
Value of total assets at end of year2018-10-09$0
Value of total assets at beginning of year2018-10-09$18,413,693
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-10-09$79,950
Total interest from all sources2018-10-09$13,980
Total dividends received (eg from common stock, registered investment company shares)2018-10-09$53,143
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-10-09Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2018-10-09$0
Total dividends received from registered investment company shares (eg mutual funds)2018-10-09$53,143
Administrative expenses professional fees incurred2018-10-09$0
Was this plan covered by a fidelity bond2018-10-09Yes
Value of fidelity bond cover2018-10-09$500,000
If this is an individual account plan, was there a blackout period2018-10-09No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-10-09$0
Funding deficiency by the employer to the plan for this plan year2018-10-09$0
Minimum employer required contribution for this plan year2018-10-09$0
Amount contributed by the employer to the plan for this plan year2018-10-09$0
Were there any nonexempt tranactions with any party-in-interest2018-10-09No
Contributions received from participants2018-10-09$847,858
Participant contributions at end of year2018-10-09$0
Participant contributions at beginning of year2018-10-09$436,842
Assets. Other investments not covered elsewhere at end of year2018-10-09$0
Assets. Other investments not covered elsewhere at beginning of year2018-10-09$0
Income. Received or receivable in cash from other sources (including rollovers)2018-10-09$145,360
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-10-09$16,486,802
Other income not declared elsewhere2018-10-09$-5,547
Administrative expenses (other) incurred2018-10-09$12,286
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-10-09No
Value of net income/loss2018-10-09$-18,413,693
Value of net assets at end of year (total assets less liabilities)2018-10-09$0
Value of net assets at beginning of year (total assets less liabilities)2018-10-09$18,413,693
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-10-09No
Were any loans by the plan or fixed income obligations due to the plan in default2018-10-09No
Were any leases to which the plan was party in default or uncollectible2018-10-09No
Investment advisory and management fees2018-10-09$57,928
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-10-09$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-10-09$17,187,404
Value of interest in pooled separate accounts at end of year2018-10-09$0
Value of interest in pooled separate accounts at beginning of year2018-10-09$0
Interest on participant loans2018-10-09$7,776
Interest earned on other investments2018-10-09$6,204
Value of interest in common/collective trusts at end of year2018-10-09$0
Value of interest in common/collective trusts at beginning of year2018-10-09$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-10-09$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-10-09$789,447
Expenses. Payments to insurance carriers foe the provision of benefits2018-10-09$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-10-09$-106,755
Net investment gain/loss from pooled separate accounts2018-10-09$0
Net investment gain or loss from common/collective trusts2018-10-09$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-10-09No
Was there a failure to transmit to the plan any participant contributions2018-10-09Yes
Has the plan failed to provide any benefit when due under the plan2018-10-09No
Assets. Invements in employer securities at end of year2018-10-09$0
Assets. Invements in employer securities at beginning of year2018-10-09$0
Contributions received in cash from employer2018-10-09$249,915
Income. Dividends from common stock2018-10-09$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-10-09$3,042,948
Contract administrator fees2018-10-09$9,736
Did the plan have assets held for investment2018-10-09No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-10-09No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-10-09Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-10-09No
Opinion of an independent qualified public accountant for this plan2018-10-09Unqualified
Accountancy firm name2018-10-09BKD LLP
Accountancy firm EIN2018-10-09440160260
2017 : CAMELLIA HEALTHCARE 401(K) 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$5,311,033
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$2,075,504
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,859,438
Expenses. Certain deemed distributions of participant loans2017-12-31$30,431
Value of total corrective distributions2017-12-31$37,475
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$2,563,571
Value of total assets at end of year2017-12-31$18,413,693
Value of total assets at beginning of year2017-12-31$15,178,164
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$148,160
Total interest from all sources2017-12-31$44,650
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$492,282
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$492,282
Administrative expenses professional fees incurred2017-12-31$0
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
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$1,857,837
Participant contributions at end of year2017-12-31$436,842
Participant contributions at beginning of year2017-12-31$455,123
Assets. Other investments not covered elsewhere at end of year2017-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$272,768
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$0
Other income not declared elsewhere2017-12-31$0
Administrative expenses (other) incurred2017-12-31$3,751
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$3,235,529
Value of net assets at end of year (total assets less liabilities)2017-12-31$18,413,693
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$15,178,164
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$123,710
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$17,187,404
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$13,641,329
Value of interest in pooled separate accounts at end of year2017-12-31$0
Value of interest in pooled separate accounts at beginning of year2017-12-31$0
Interest on participant loans2017-12-31$20,984
Interest earned on other investments2017-12-31$23,666
Value of interest in common/collective trusts at end of year2017-12-31$0
Value of interest in common/collective trusts at beginning of year2017-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$789,447
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$1,081,712
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$2,210,530
Net investment gain/loss from pooled separate accounts2017-12-31$0
Net investment gain or loss from common/collective trusts2017-12-31$0
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 contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Assets. Invements in employer securities at end of year2017-12-31$0
Assets. Invements in employer securities at beginning of year2017-12-31$0
Contributions received in cash from employer2017-12-31$432,966
Income. Dividends from common stock2017-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,859,438
Contract administrator fees2017-12-31$20,699
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)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31BKD LLP
Accountancy firm EIN2017-12-31440160260
2016 : CAMELLIA HEALTHCARE 401(K) 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$4,413,232
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$3,601,291
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$3,422,216
Expenses. Certain deemed distributions of participant loans2016-12-31$6,737
Value of total corrective distributions2016-12-31$38,017
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$3,205,717
Value of total assets at end of year2016-12-31$15,178,164
Value of total assets at beginning of year2016-12-31$14,366,223
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$134,321
Total interest from all sources2016-12-31$43,428
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$419,831
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$419,831
Administrative expenses professional fees incurred2016-12-31$0
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
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$1,796,564
Participant contributions at end of year2016-12-31$455,123
Participant contributions at beginning of year2016-12-31$376,226
Assets. Other investments not covered elsewhere at end of year2016-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$547,038
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$164,620
Other income not declared elsewhere2016-12-31$0
Administrative expenses (other) incurred2016-12-31$2,403
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$811,941
Value of net assets at end of year (total assets less liabilities)2016-12-31$15,178,164
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$14,366,223
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$108,533
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$13,641,329
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$13,137,103
Value of interest in pooled separate accounts at end of year2016-12-31$0
Value of interest in pooled separate accounts at beginning of year2016-12-31$0
Interest on participant loans2016-12-31$18,435
Interest earned on other investments2016-12-31$24,993
Value of interest in common/collective trusts at end of year2016-12-31$0
Value of interest in common/collective trusts at beginning of year2016-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$1,081,712
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$852,894
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$744,256
Net investment gain/loss from pooled separate accounts2016-12-31$0
Net investment gain or loss from common/collective trusts2016-12-31$0
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 contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Assets. Invements in employer securities at end of year2016-12-31$0
Assets. Invements in employer securities at beginning of year2016-12-31$0
Contributions received in cash from employer2016-12-31$862,115
Income. Dividends from common stock2016-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$3,257,596
Contract administrator fees2016-12-31$23,385
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 name2016-12-31BKD, LLP
Accountancy firm EIN2016-12-31440160260
2015 : CAMELLIA HEALTHCARE 401(K) 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$3,550,408
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$1,876,127
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,721,092
Expenses. Certain deemed distributions of participant loans2015-12-31$39,668
Value of total corrective distributions2015-12-31$114
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$3,680,067
Value of total assets at end of year2015-12-31$14,366,223
Value of total assets at beginning of year2015-12-31$12,691,942
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$115,253
Total interest from all sources2015-12-31$37,575
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$543,181
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$543,181
Administrative expenses professional fees incurred2015-12-31$11,051
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
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$1,838,569
Participant contributions at end of year2015-12-31$376,226
Participant contributions at beginning of year2015-12-31$404,266
Assets. Other investments not covered elsewhere at end of year2015-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$665,256
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$0
Other income not declared elsewhere2015-12-31$18,874
Administrative expenses (other) incurred2015-12-31$3,187
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$1,674,281
Value of net assets at end of year (total assets less liabilities)2015-12-31$14,366,223
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$12,691,942
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$76,538
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$13,137,103
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$11,406,564
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$0
Interest on participant loans2015-12-31$23,450
Interest earned on other investments2015-12-31$14,112
Value of interest in common/collective trusts at end of year2015-12-31$0
Value of interest in common/collective trusts at beginning of year2015-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$881,112
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$881,112
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$13
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$852,894
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-729,289
Net investment gain/loss from pooled separate accounts2015-12-31$0
Net investment gain or loss from common/collective trusts2015-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
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
Assets. Invements in employer securities at end of year2015-12-31$0
Assets. Invements in employer securities at beginning of year2015-12-31$0
Contributions received in cash from employer2015-12-31$1,176,242
Income. Dividends from common stock2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,721,092
Contract administrator fees2015-12-31$24,477
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 name2015-12-31HOLT AND ASSOCIATES
Accountancy firm EIN2015-12-31640886275
2014 : CAMELLIA HEALTHCARE 401(K) PLAN 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets2014-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$0
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total transfer of assets to this plan2014-12-31$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
Expenses. Interest paid2014-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022014-12-31$0
Total income from all sources (including contributions)2014-12-31$2,985,535
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$1,089,881
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,006,267
Expenses. Certain deemed distributions of participant loans2014-12-31$21,007
Value of total corrective distributions2014-12-31$8,640
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$2,343,834
Value of total assets at end of year2014-12-31$12,691,942
Value of total assets at beginning of year2014-12-31$10,796,288
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$53,967
Total income from rents2014-12-31$0
Total interest from all sources2014-12-31$18,911
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$592,974
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$592,974
Assets. Real estate other than employer real property at end of year2014-12-31$0
Assets. Real estate other than employer real property at beginning of year2014-12-31$0
Administrative expenses professional fees incurred2014-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2014-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2014-12-31$0
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$1,815,922
Participant contributions at end of year2014-12-31$404,266
Participant contributions at beginning of year2014-12-31$301,011
Participant contributions at end of year2014-12-31$0
Participant contributions at beginning of year2014-12-31$0
Assets. Other investments not covered elsewhere at end of year2014-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$95,083
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$0
Assets. Loans (other than to participants) at end of year2014-12-31$0
Assets. Loans (other than to participants) at beginning of year2014-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$0
Other income not declared elsewhere2014-12-31$0
Administrative expenses (other) incurred2014-12-31$53,967
Liabilities. Value of operating payables at end of year2014-12-31$0
Liabilities. Value of operating payables at beginning of year2014-12-31$0
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
Income. Non cash contributions2014-12-31$0
Value of net income/loss2014-12-31$1,895,654
Value of net assets at end of year (total assets less liabilities)2014-12-31$12,691,942
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$10,796,288
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
Assets. partnership/joint venture interests at end of year2014-12-31$0
Assets. partnership/joint venture interests at beginning of year2014-12-31$0
Investment advisory and management fees2014-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$11,406,564
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$7,918,331
Value of interest in pooled separate accounts at end of year2014-12-31$0
Value of interest in pooled separate accounts at beginning of year2014-12-31$0
Interest on participant loans2014-12-31$18,793
Income. Interest from loans (other than to participants)2014-12-31$0
Interest earned on other investments2014-12-31$0
Income. Interest from US Government securities2014-12-31$0
Income. Interest from corporate debt instruments2014-12-31$0
Value of interest in master investment trust accounts at end of year2014-12-31$0
Value of interest in master investment trust accounts at beginning of year2014-12-31$0
Value of interest in common/collective trusts at end of year2014-12-31$0
Value of interest in common/collective trusts at beginning of year2014-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$881,112
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$2,576,946
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$2,576,946
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$118
Assets. Value of investments in 103.12 investment entities at end of year2014-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2014-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$0
Asset value of US Government securities at end of year2014-12-31$0
Asset value of US Government securities at beginning of year2014-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$29,816
Net investment gain/loss from pooled separate accounts2014-12-31$0
Net investment gain or loss from common/collective trusts2014-12-31$0
Net gain/loss from 103.12 investment entities2014-12-31$0
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 contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Assets. Invements in employer securities at end of year2014-12-31$0
Assets. Invements in employer securities at beginning of year2014-12-31$0
Assets. Value of employer real property at end of year2014-12-31$0
Assets. Value of employer real property at beginning of year2014-12-31$0
Contributions received in cash from employer2014-12-31$432,829
Employer contributions (assets) at end of year2014-12-31$0
Employer contributions (assets) at beginning of year2014-12-31$0
Income. Dividends from preferred stock2014-12-31$0
Income. Dividends from common stock2014-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,006,267
Asset. Corporate debt instrument preferred debt at end of year2014-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2014-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$0
Contract administrator fees2014-12-31$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$0
Liabilities. Value of benefit claims payable at end of year2014-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$0
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
Aggregate proceeds on sale of assets2014-12-31$0
Aggregate carrying amount (costs) on sale of assets2014-12-31$0
Liabilities. Value of acquisition indebtedness at end of year2014-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2014-12-31$0
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 name2014-12-31HOLT & ASSOCIATES, PLLC
Accountancy firm EIN2014-12-31640886275
2013 : CAMELLIA HEALTHCARE 401(K) PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets2013-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$0
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total transfer of assets to this plan2013-12-31$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
Expenses. Interest paid2013-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022013-12-31$0
Total income from all sources (including contributions)2013-12-31$3,441,702
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$894,401
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$836,054
Expenses. Certain deemed distributions of participant loans2013-12-31$19,171
Value of total corrective distributions2013-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,881,182
Value of total assets at end of year2013-12-31$10,796,288
Value of total assets at beginning of year2013-12-31$8,248,987
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$39,176
Total income from rents2013-12-31$0
Total interest from all sources2013-12-31$17,593
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$331,335
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$331,335
Assets. Real estate other than employer real property at end of year2013-12-31$0
Assets. Real estate other than employer real property at beginning of year2013-12-31$0
Administrative expenses professional fees incurred2013-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2013-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2013-12-31$0
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$1,487,790
Participant contributions at end of year2013-12-31$301,011
Participant contributions at beginning of year2013-12-31$256,894
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$0
Assets. Other investments not covered elsewhere at end of year2013-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$74,658
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$0
Assets. Loans (other than to participants) at end of year2013-12-31$0
Assets. Loans (other than to participants) at beginning of year2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$0
Other income not declared elsewhere2013-12-31$0
Administrative expenses (other) incurred2013-12-31$39,176
Liabilities. Value of operating payables at end of year2013-12-31$0
Liabilities. Value of operating payables at beginning of year2013-12-31$0
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
Income. Non cash contributions2013-12-31$0
Value of net income/loss2013-12-31$2,547,301
Value of net assets at end of year (total assets less liabilities)2013-12-31$10,796,288
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$8,248,987
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
Assets. partnership/joint venture interests at end of year2013-12-31$0
Assets. partnership/joint venture interests at beginning of year2013-12-31$0
Investment advisory and management fees2013-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$7,918,331
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$6,945,454
Value of interest in pooled separate accounts at end of year2013-12-31$0
Value of interest in pooled separate accounts at beginning of year2013-12-31$0
Interest on participant loans2013-12-31$17,450
Income. Interest from loans (other than to participants)2013-12-31$0
Interest earned on other investments2013-12-31$0
Income. Interest from US Government securities2013-12-31$0
Income. Interest from corporate debt instruments2013-12-31$0
Value of interest in master investment trust accounts at end of year2013-12-31$0
Value of interest in master investment trust accounts at beginning of year2013-12-31$0
Value of interest in common/collective trusts at end of year2013-12-31$0
Value of interest in common/collective trusts at beginning of year2013-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$2,576,946
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$1,046,639
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$1,046,639
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$143
Assets. Value of investments in 103.12 investment entities at end of year2013-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2013-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$0
Asset value of US Government securities at end of year2013-12-31$0
Asset value of US Government securities at beginning of year2013-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$1,211,592
Net investment gain/loss from pooled separate accounts2013-12-31$0
Net investment gain or loss from common/collective trusts2013-12-31$0
Net gain/loss from 103.12 investment entities2013-12-31$0
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 contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Assets. Invements in employer securities at end of year2013-12-31$0
Assets. Invements in employer securities at beginning of year2013-12-31$0
Assets. Value of employer real property at end of year2013-12-31$0
Assets. Value of employer real property at beginning of year2013-12-31$0
Contributions received in cash from employer2013-12-31$318,734
Employer contributions (assets) at end of year2013-12-31$0
Employer contributions (assets) at beginning of year2013-12-31$0
Income. Dividends from preferred stock2013-12-31$0
Income. Dividends from common stock2013-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$836,054
Asset. Corporate debt instrument preferred debt at end of year2013-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2013-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$0
Contract administrator fees2013-12-31$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$0
Liabilities. Value of benefit claims payable at end of year2013-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$0
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
Aggregate proceeds on sale of assets2013-12-31$0
Aggregate carrying amount (costs) on sale of assets2013-12-31$0
Liabilities. Value of acquisition indebtedness at end of year2013-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2013-12-31$0
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 name2013-12-31KEENE BOURNE SANDERSON
Accountancy firm EIN2013-12-31640822190
2012 : CAMELLIA HEALTHCARE 401(K) PLAN 2012 401k financial data
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$2,368,875
Total of all expenses incurred2012-12-31$692,343
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$669,823
Expenses. Certain deemed distributions of participant loans2012-12-31$3,171
Value of total corrective distributions2012-12-31$8,526
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,512,357
Value of total assets at end of year2012-12-31$8,248,987
Value of total assets at beginning of year2012-12-31$6,572,455
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$10,823
Total interest from all sources2012-12-31$14,795
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$92,611
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$92,611
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
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$1,142,772
Participant contributions at end of year2012-12-31$256,894
Participant contributions at beginning of year2012-12-31$199,849
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$53,727
Administrative expenses (other) incurred2012-12-31$10,823
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$1,676,532
Value of net assets at end of year (total assets less liabilities)2012-12-31$8,248,987
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$6,572,455
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 registered invesment companies (eg mutual funds) at end of year2012-12-31$6,945,454
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$5,397,795
Interest on participant loans2012-12-31$14,697
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$1,046,639
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$974,811
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$974,811
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$98
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$749,112
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$315,858
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$669,823
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
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 name2012-12-31KEENE BOURNE SANDERSON
Accountancy firm EIN2012-12-31640822190
2011 : CAMELLIA HEALTHCARE 401(K) PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$1,176,025
Total of all expenses incurred2011-12-31$622,974
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$614,537
Value of total corrective distributions2011-12-31$1,351
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,310,555
Value of total assets at end of year2011-12-31$6,572,455
Value of total assets at beginning of year2011-12-31$6,019,404
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$7,086
Total interest from all sources2011-12-31$14,442
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$104,728
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$104,728
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,024,996
Participant contributions at end of year2011-12-31$199,849
Participant contributions at beginning of year2011-12-31$227,116
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$12,513
Administrative expenses (other) incurred2011-12-31$7,086
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$553,051
Value of net assets at end of year (total assets less liabilities)2011-12-31$6,572,455
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$6,019,404
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$5,397,795
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$5,058,039
Interest on participant loans2011-12-31$14,354
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$974,811
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$734,249
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$734,249
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$88
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-253,700
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$273,046
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$614,537
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31KEENE BOURNE SANDERSON HAIGLER & EA
Accountancy firm EIN2011-12-31640822190
2010 : CAMELLIA HEALTHCARE 401(K) PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$1,726,214
Total of all expenses incurred2010-12-31$465,790
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$448,974
Value of total corrective distributions2010-12-31$10,253
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,021,896
Value of total assets at end of year2010-12-31$6,019,404
Value of total assets at beginning of year2010-12-31$4,758,980
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$6,563
Total interest from all sources2010-12-31$15,491
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$59,270
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$59,270
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$759,701
Participant contributions at end of year2010-12-31$227,116
Participant contributions at beginning of year2010-12-31$193,867
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$41,103
Administrative expenses (other) incurred2010-12-31$6,563
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,260,424
Value of net assets at end of year (total assets less liabilities)2010-12-31$6,019,404
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$4,758,980
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$5,058,039
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$3,737,679
Interest on participant loans2010-12-31$15,415
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$734,249
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$827,434
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$827,434
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$76
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$629,557
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$221,092
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$448,974
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Qualified
Accountancy firm name2010-12-31KEENE, BOURNE, AND SANDERSON, PA
Accountancy firm EIN2010-12-31640822190
2009 : CAMELLIA HEALTHCARE 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for CAMELLIA HEALTHCARE 401(K) PLAN

2018: CAMELLIA HEALTHCARE 401(K) 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 filingYes
2018-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CAMELLIA HEALTHCARE 401(K) 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 – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CAMELLIA HEALTHCARE 401(K) 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 – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CAMELLIA HEALTHCARE 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
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: CAMELLIA HEALTHCARE 401(K) 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 – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CAMELLIA HEALTHCARE 401(K) 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 – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CAMELLIA HEALTHCARE 401(K) 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 funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CAMELLIA HEALTHCARE 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: CAMELLIA HEALTHCARE 401(K) PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: CAMELLIA HEALTHCARE 401(K) 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 funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberMR 61690
Policy instance 1
Insurance contract or identification numberMR 61690
Number of Individuals Covered312
Insurance policy start date2018-01-01
Insurance policy end date2018-10-09
Are there contracts with allocated funds for individual policies?0
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
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberMR 61690
Policy instance 1
Insurance contract or identification numberMR 61690
Number of Individuals Covered1616
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
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
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberMR 61690
Policy instance 1
Insurance contract or identification numberMR 61690
Number of Individuals Covered1386
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
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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