401k Plan data: HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN plan

HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN 401k Plan overview

Plan Name	HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN
Plan identification number	501

HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental

401k Sponsoring company profile

HOMELAND HEALTHCARE, INC. has sponsored the creation of one or more 401k plans.

Company Name: HOMELAND HEALTHCARE, INC.

Employer identification number (EIN): 752948231

NAIC Classification: 524290

Additional information about HOMELAND HEALTHCARE, INC.

Jurisdiction of Incorporation: Virginia Secretary of State

Incorporation Date: 2013-09-03

Company Identification Number: F193947

Legal Registered Office Address: 4701 COX ROAD, SUITE 285

GLEN ALLEN
United States of America (USA)
23060

More information about HOMELAND HEALTHCARE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-09-01 DYANE WEST DYANE WEST 2017-04-14
501 2014-09-01 DYANE WEST
501 2013-09-01 DYANE WEST
501 2012-09-01 DYANE WEST
501 2011-09-01 DYANE WEST

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2015-09-01	DYANE WEST	DYANE WEST	2017-04-14
501	2014-09-01	DYANE WEST
501	2013-09-01	DYANE WEST
501	2012-09-01	DYANE WEST
501	2011-09-01	DYANE WEST

Plan Statistics for HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN

401k plan membership statisitcs for HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN

Measure Date Value
2015: HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-09-01 116
Total number of active participants reported on line 7a of the Form 5500 2015-09-01 91
Number of retired or separated participants receiving benefits 2015-09-01 13
Number of other retired or separated participants entitled to future benefits 2015-09-01 0
Total of all active and inactive participants 2015-09-01 104
2014: HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-09-01 158
Total number of active participants reported on line 7a of the Form 5500 2014-09-01 131
Number of retired or separated participants receiving benefits 2014-09-01 1
Number of other retired or separated participants entitled to future benefits 2014-09-01 0
Total of all active and inactive participants 2014-09-01 132
2013: HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-09-01 179
Total number of active participants reported on line 7a of the Form 5500 2013-09-01 157
Number of retired or separated participants receiving benefits 2013-09-01 2
Number of other retired or separated participants entitled to future benefits 2013-09-01 0
Total of all active and inactive participants 2013-09-01 159
2012: HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-09-01 128
Total number of active participants reported on line 7a of the Form 5500 2012-09-01 143
Number of retired or separated participants receiving benefits 2012-09-01 2
Number of other retired or separated participants entitled to future benefits 2012-09-01 0
Total of all active and inactive participants 2012-09-01 145
2011: HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-09-01 108
Total number of active participants reported on line 7a of the Form 5500 2011-09-01 128
Number of retired or separated participants receiving benefits 2011-09-01 3
Number of other retired or separated participants entitled to future benefits 2011-09-01 0
Total of all active and inactive participants 2011-09-01 131

Measure	Date	Value
2015: HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-09-01	116
Total number of active participants reported on line 7a of the Form 5500	2015-09-01	91
Number of retired or separated participants receiving benefits	2015-09-01	13
Number of other retired or separated participants entitled to future benefits	2015-09-01	0
Total of all active and inactive participants	2015-09-01	104
2014: HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-09-01	158
Total number of active participants reported on line 7a of the Form 5500	2014-09-01	131
Number of retired or separated participants receiving benefits	2014-09-01	1
Number of other retired or separated participants entitled to future benefits	2014-09-01	0
Total of all active and inactive participants	2014-09-01	132
2013: HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-09-01	179
Total number of active participants reported on line 7a of the Form 5500	2013-09-01	157
Number of retired or separated participants receiving benefits	2013-09-01	2
Number of other retired or separated participants entitled to future benefits	2013-09-01	0
Total of all active and inactive participants	2013-09-01	159
2012: HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-09-01	128
Total number of active participants reported on line 7a of the Form 5500	2012-09-01	143
Number of retired or separated participants receiving benefits	2012-09-01	2
Number of other retired or separated participants entitled to future benefits	2012-09-01	0
Total of all active and inactive participants	2012-09-01	145
2011: HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-09-01	108
Total number of active participants reported on line 7a of the Form 5500	2011-09-01	128
Number of retired or separated participants receiving benefits	2011-09-01	3
Number of other retired or separated participants entitled to future benefits	2011-09-01	0
Total of all active and inactive participants	2011-09-01	131

Form 5500 Responses for HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN

2015: HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN 2015 form 5500 responses
2015-09-01	Type of plan entity	Single employer plan
2015-09-01	Submission has been amended	No
2015-09-01	This submission is the final filing	No
2015-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-09-01	Plan is a collectively bargained plan	No
2015-09-01	Plan funding arrangement – Insurance	Yes
2015-09-01	Plan benefit arrangement – Insurance	Yes
2014: HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN 2014 form 5500 responses
2014-09-01	Type of plan entity	Single employer plan
2014-09-01	Submission has been amended	No
2014-09-01	This submission is the final filing	No
2014-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-09-01	Plan is a collectively bargained plan	No
2014-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN 2013 form 5500 responses
2013-09-01	Type of plan entity	Single employer plan
2013-09-01	Submission has been amended	No
2013-09-01	This submission is the final filing	No
2013-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-09-01	Plan is a collectively bargained plan	No
2013-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN 2012 form 5500 responses
2012-09-01	Type of plan entity	Single employer plan
2012-09-01	Submission has been amended	No
2012-09-01	This submission is the final filing	No
2012-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-09-01	Plan is a collectively bargained plan	No
2012-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: HOMELAND HEALTHCARE, INC. MEDICAL AND DENTAL PLAN 2011 form 5500 responses
2011-09-01	Type of plan entity	Single employer plan
2011-09-01	First time form 5500 has been submitted	Yes
2011-09-01	Submission has been amended	No
2011-09-01	This submission is the final filing	No
2011-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-09-01	Plan is a collectively bargained plan	No
2011-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-09-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	HOMELAND HEALTHCARE, INC.
Employer identification number (EIN):	752948231
NAIC Classification:	524290

Jurisdiction of Incorporation:	Virginia Secretary of State
Incorporation Date:	2013-09-03
Company Identification Number:	F193947
Legal Registered Office Address:	4701 COX ROAD, SUITE 285 GLEN ALLEN United States of America (USA) 23060