401k Plan data: QUALITY CARE REHABILITATION PROFESSIONALS, INC 401(K) PLAN plan

QUALITY CARE REHABILITATION PROFESSIONALS, INC 401(K) PLAN 401k Plan overview

Plan Name	QUALITY CARE REHABILITATION PROFESSIONALS, INC 401(K) PLAN
Plan identification number	001

QUALITY CARE REHABILITATION PROFESSIONALS, INC 401(K) PLAN Benefits

401k Plan Type

Defined 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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

QUALITY CARE REHABILITATION PR has sponsored the creation of one or more 401k plans.

Company Name: QUALITY CARE REHABILITATION PR

Employer identification number (EIN): 753206758

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan QUALITY CARE REHABILITATION PROFESSIONALS, INC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 ERISA FIDUCIARY SERVICES, INC 2023-04-05
001 2021-01-01 ERISA FIDUCIARY SERVICES 2022-05-04
001 2020-01-01 ERISA FIDUCIARY SERVICES 2021-04-26
001 2019-01-01 TATJANA SAVICH 2020-08-18 TATJANA SAVICH 2020-08-18
001 2018-01-01 TATJANA SAVICH 2019-07-24
001 2017-01-01 NATASA TRPCESKI 2018-05-22 NATASA TRPCESKI 2018-05-22
001 2016-01-01 TATJANA SAVICH 2017-06-07 TATJANA SAVICH 2017-06-07
001 2015-01-01 TATJANA SAVICH 2016-08-18
001 2014-01-01 TATJANA T. SAVICH 2015-07-09 TATJANA T. SAVICH 2015-07-09
001 2013-01-01 TATJANA T. SAVICH 2014-09-08
001 2012-01-01 TATJANA SAVICH TATJANA SAVICH 2013-06-25
001 2011-01-01 TATJANA SAVICH TATJANA SAVICH 2012-07-13
001 2009-01-01 TATJANA SAVICH TATJANA SAVICH 2010-10-05

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	ERISA FIDUCIARY SERVICES, INC	2023-04-05
001	2021-01-01	ERISA FIDUCIARY SERVICES	2022-05-04
001	2020-01-01	ERISA FIDUCIARY SERVICES	2021-04-26
001	2019-01-01	TATJANA SAVICH	2020-08-18	TATJANA SAVICH	2020-08-18
001	2018-01-01	TATJANA SAVICH	2019-07-24
001	2017-01-01	NATASA TRPCESKI	2018-05-22	NATASA TRPCESKI	2018-05-22
001	2016-01-01	TATJANA SAVICH	2017-06-07	TATJANA SAVICH	2017-06-07
001	2015-01-01	TATJANA SAVICH	2016-08-18
001	2014-01-01	TATJANA T. SAVICH	2015-07-09	TATJANA T. SAVICH	2015-07-09
001	2013-01-01	TATJANA T. SAVICH	2014-09-08
001	2012-01-01	TATJANA SAVICH		TATJANA SAVICH	2013-06-25
001	2011-01-01	TATJANA SAVICH		TATJANA SAVICH	2012-07-13
001	2009-01-01	TATJANA SAVICH		TATJANA SAVICH	2010-10-05

Plan Statistics for QUALITY CARE REHABILITATION PROFESSIONALS, INC 401(K) PLAN

401k plan membership statisitcs for QUALITY CARE REHABILITATION PROFESSIONALS, INC 401(K) PLAN

Measure Date Value
2012: QUALITY CARE REHABILITATION PROFESSIONALS, INC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 9
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 5
Total of all active and inactive participants 2012-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 14
Number of participants with account balances 2012-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: QUALITY CARE REHABILITATION PROFESSIONALS, INC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 5
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 8
Total of all active and inactive participants 2011-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 13
Number of participants with account balances 2011-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: QUALITY CARE REHABILITATION PROFESSIONALS, INC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 40
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 17
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 21
Total of all active and inactive participants 2009-01-01 38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 38
Number of participants with account balances 2009-01-01 38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 16

Measure	Date	Value
2012: QUALITY CARE REHABILITATION PROFESSIONALS, INC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	9
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	5
Total of all active and inactive participants	2012-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	14
Number of participants with account balances	2012-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: QUALITY CARE REHABILITATION PROFESSIONALS, INC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	5
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	8
Total of all active and inactive participants	2011-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	13
Number of participants with account balances	2011-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: QUALITY CARE REHABILITATION PROFESSIONALS, INC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	40
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	17
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	21
Total of all active and inactive participants	2009-01-01	38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	38
Number of participants with account balances	2009-01-01	38
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	16

Financial Data on QUALITY CARE REHABILITATION PROFESSIONALS, INC 401(K) PLAN

Measure	Date	Value
2012 : QUALITY CARE REHABILITATION PROFESSIONALS, INC 401(K) PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$27,683
Expenses. Total of all expenses incurred	2012-12-31	$13,479
Benefits paid (including direct rollovers)	2012-12-31	$12,129
Total plan assets at end of year	2012-12-31	$123,482
Total plan assets at beginning of year	2012-12-31	$109,278
Value of fidelity bond covering the plan	2012-12-31	$50,000
Total contributions received or receivable from participants	2012-12-31	$10,188
Other income received	2012-12-31	$10,941
Net income (gross income less expenses)	2012-12-31	$14,204
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$123,482
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$109,278
Total contributions received or receivable from employer(s)	2012-12-31	$6,554
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$1,350
2011 : QUALITY CARE REHABILITATION PROFESSIONALS, INC 401(K) PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$24,125
Expenses. Total of all expenses incurred	2011-12-31	$1,652
Benefits paid (including direct rollovers)	2011-12-31	$242
Total plan assets at end of year	2011-12-31	$109,278
Total plan assets at beginning of year	2011-12-31	$86,805
Value of fidelity bond covering the plan	2011-12-31	$50,000
Total contributions received or receivable from participants	2011-12-31	$17,983
Expenses. Other expenses not covered elsewhere	2011-12-31	$1,410
Other income received	2011-12-31	$-1,974
Net income (gross income less expenses)	2011-12-31	$22,473
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$109,278
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$86,805
Total contributions received or receivable from employer(s)	2011-12-31	$8,116
2010 : QUALITY CARE REHABILITATION PROFESSIONALS, INC 401(K) PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$48,935
Expenses. Total of all expenses incurred	2010-12-31	$21,219
Benefits paid (including direct rollovers)	2010-12-31	$14,567
Total plan assets at end of year	2010-12-31	$86,805
Total plan assets at beginning of year	2010-12-31	$59,089
Value of fidelity bond covering the plan	2010-12-31	$25,000
Total contributions received or receivable from participants	2010-12-31	$28,503
Expenses. Other expenses not covered elsewhere	2010-12-31	$6,652
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$6,875
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$27,716
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$86,805
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$59,089
Total contributions received or receivable from employer(s)	2010-12-31	$13,557
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0

Form 5500 Responses for QUALITY CARE REHABILITATION PROFESSIONALS, INC 401(K) PLAN

2012: QUALITY CARE REHABILITATION PROFESSIONALS, INC 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: QUALITY CARE REHABILITATION PROFESSIONALS, INC 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: QUALITY CARE REHABILITATION PROFESSIONALS, INC 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	First time form 5500 has been submitted	Yes
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

SAVE-14132

Policy instance

Insurance contract or identification number	SAVE-14132
Number of Individuals Covered	13
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $722
Total amount of fees paid to insurance company	USD $68
Commission paid to Insurance Broker	USD $722
Insurance broker organization code?	3
Amount paid for insurance broker fees	60
Additional information about fees paid to insurance broker	SERVICES PERFORMED ON BEHALF OF UNITED OF OMAHA
Insurance broker name	STRATEGIC PLANNING

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

20809001

Policy instance

Insurance contract or identification number	20809001
Number of Individuals Covered	18
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $582
Total amount of fees paid to insurance company	USD $83

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

20809001

Policy instance

Insurance contract or identification number	20809001
Number of Individuals Covered	18
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $429
Total amount of fees paid to insurance company	USD $36
Commission paid to Insurance Broker	USD $429
Insurance broker organization code?	3
Amount paid for insurance broker fees	36
Additional information about fees paid to insurance broker	SERVICES PERFORMED ON BEHALF OF MUTUAL OF OMAHA
Insurance broker name	BARCLAY PLANNING GROUP

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Company Name:	QUALITY CARE REHABILITATION PR
Employer identification number (EIN):	753206758
NAIC Classification:	621340
NAIC Description:	Offices of Physical, Occupational and Speech Therapists, and Audiologists