Plan Name | EMPOWERING PEOPLE HOLDINGS BENEFITS TRUST |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
|
Company Name: | PROVIDER SERVICES |
Employer identification number (EIN): | 810681796 |
NAIC Classification: | 623000 |
NAIC Description: | Nursing and Residential Care Facilities |
Additional information about PROVIDER SERVICES
Jurisdiction of Incorporation: | Ohio Secretary of State Business Services Division |
Incorporation Date: | 2005-11-16 |
Company Identification Number: | 1581849 |
Legal Registered Office Address: |
2500 COUNTRY CLUB BLVD SUITE 255 NORTH OLMSTED United States of America (USA) 44070 |
More information about PROVIDER SERVICES
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
---|---|---|---|---|---|
502 | 2014-01-01 | ||||
502 | 2013-01-01 | ||||
502 | 2012-01-01 | JOHN KRYSTOWSKI | |||
502 | 2011-01-01 | JOHN KRYSTOWSKI | |||
502 | 2010-01-01 | JOHN KRYSTOWSKI | |||
502 | 2009-01-01 | JOHN KRYSTOWSKI | |||
502 | 2009-01-01 | JOHN KRYSTOWSKI |
Measure | Date | Value |
---|---|---|
2014: EMPOWERING PEOPLE HOLDINGS BENEFITS TRUST 2014 401k membership | ||
Total participants, beginning-of-year | 2014-01-01 | 337 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 0 |
Total of all active and inactive participants | 2014-01-01 | 0 |
2013: EMPOWERING PEOPLE HOLDINGS BENEFITS TRUST 2013 401k membership | ||
Total participants, beginning-of-year | 2013-01-01 | 372 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 337 |
Total of all active and inactive participants | 2013-01-01 | 337 |
2012: EMPOWERING PEOPLE HOLDINGS BENEFITS TRUST 2012 401k membership | ||
Total participants, beginning-of-year | 2012-01-01 | 287 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 372 |
Total of all active and inactive participants | 2012-01-01 | 372 |
2011: EMPOWERING PEOPLE HOLDINGS BENEFITS TRUST 2011 401k membership | ||
Total participants, beginning-of-year | 2011-01-01 | 371 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 357 |
Total of all active and inactive participants | 2011-01-01 | 357 |
2010: EMPOWERING PEOPLE HOLDINGS BENEFITS TRUST 2010 401k membership | ||
Total participants, beginning-of-year | 2010-01-01 | 944 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 371 |
Number of retired or separated participants receiving benefits | 2010-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2010-01-01 | 0 |
Total of all active and inactive participants | 2010-01-01 | 371 |
2009: EMPOWERING PEOPLE HOLDINGS BENEFITS TRUST 2009 401k membership | ||
Total participants, beginning-of-year | 2009-01-01 | 952 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 944 |
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 | 0 |
Total of all active and inactive participants | 2009-01-01 | 944 |
Measure | Date | Value |
---|---|---|
2012 : EMPOWERING PEOPLE HOLDINGS BENEFITS TRUST 2012 401k financial data | ||
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $144,400 |
Total income from all sources (including contributions) | 2012-12-31 | $152,512 |
Total of all expenses incurred | 2012-12-31 | $2,408,144 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $2,402,531 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $3,600 |
Value of total assets at beginning of year | 2012-12-31 | $2,400,032 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $5,613 |
Total interest from all sources | 2012-12-31 | $13 |
Total dividends received (eg from common stock, registered investment company shares) | 2012-12-31 | $4,855 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | No |
Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2012-12-31 | $469,600 |
Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
Value of fidelity bond cover | 2012-12-31 | $500,000 |
If this is an individual account plan, was there a blackout period | 2012-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
Participant contributions at beginning of year | 2012-12-31 | $685 |
Other income not declared elsewhere | 2012-12-31 | $565 |
Administrative expenses (other) incurred | 2012-12-31 | $5,613 |
Total non interest bearing cash at beginning of year | 2012-12-31 | $680 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
Value of net income/loss | 2012-12-31 | $-2,255,632 |
Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $2,255,632 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-12-31 | $1,696,284 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-12-31 | $232,783 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-12-31 | $232,783 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-12-31 | $13 |
Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-12-31 | $143,479 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | Yes |
Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
Contributions received in cash from employer | 2012-12-31 | $3,600 |
Income. Dividends from preferred stock | 2012-12-31 | $4,855 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-12-31 | $2,402,531 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2012-12-31 | No |
Liabilities. Value of benefit claims payable at beginning of year | 2012-12-31 | $144,400 |
Did the plan have assets held for investment | 2012-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | Yes |
Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Disclaimer |
Accountancy firm name | 2012-12-31 | CORRIGAN KRAUSE |
Accountancy firm EIN | 2012-12-31 | 371574855 |
2011 : EMPOWERING PEOPLE HOLDINGS BENEFITS TRUST 2011 401k financial data | ||
Unrealized appreciation/depreciation of other (non real estate) assets | 2011-12-31 | $12,859 |
Total unrealized appreciation/depreciation of assets | 2011-12-31 | $12,859 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $804,000 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $243,000 |
Total income from all sources (including contributions) | 2011-12-31 | $2,098,000 |
Total loss/gain on sale of assets | 2011-12-31 | $3,481 |
Total of all expenses incurred | 2011-12-31 | $2,722,594 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $2,702,849 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $2,141,849 |
Value of total assets at end of year | 2011-12-31 | $2,400,032 |
Value of total assets at beginning of year | 2011-12-31 | $2,463,626 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $19,745 |
Total interest from all sources | 2011-12-31 | $73 |
Total dividends received (eg from common stock, registered investment company shares) | 2011-12-31 | $38,467 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-12-31 | No |
Total dividends received from registered investment company shares (eg mutual funds) | 2011-12-31 | $25,895 |
Was this plan covered by a fidelity bond | 2011-12-31 | Yes |
Value of fidelity bond cover | 2011-12-31 | $500,000 |
If this is an individual account plan, was there a blackout period | 2011-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
Participant contributions at end of year | 2011-12-31 | $685 |
Participant contributions at beginning of year | 2011-12-31 | $620 |
Total non interest bearing cash at end of year | 2011-12-31 | $680 |
Total non interest bearing cash at beginning of year | 2011-12-31 | $643 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
Value of net income/loss | 2011-12-31 | $-624,594 |
Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $1,596,032 |
Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $2,220,626 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
Investment advisory and management fees | 2011-12-31 | $19,745 |
Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-12-31 | $1,696,284 |
Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-12-31 | $1,917,407 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-12-31 | $232,783 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-12-31 | $109,016 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-12-31 | $109,016 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-12-31 | $73 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2011-12-31 | $2,702,849 |
Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2011-12-31 | $-98,729 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | Yes |
Was there a failure to transmit to the plan any participant contributions | 2011-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
Contributions received in cash from employer | 2011-12-31 | $2,141,849 |
Income. Dividends from common stock | 2011-12-31 | $12,572 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2011-12-31 | No |
Assets. Corporate common stocks other than exployer securities at end of year | 2011-12-31 | $469,600 |
Assets. Corporate common stocks other than exployer securities at beginning of year | 2011-12-31 | $435,940 |
Liabilities. Value of benefit claims payable at end of year | 2011-12-31 | $804,000 |
Liabilities. Value of benefit claims payable at beginning of year | 2011-12-31 | $243,000 |
Did the plan have assets held for investment | 2011-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
Aggregate proceeds on sale of assets | 2011-12-31 | $161,319 |
Aggregate carrying amount (costs) on sale of assets | 2011-12-31 | $157,838 |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | Yes |
Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Disclaimer |
Accountancy firm name | 2011-12-31 | CORRIGAN KRAUSE |
Accountancy firm EIN | 2011-12-31 | 371574855 |
2010 : EMPOWERING PEOPLE HOLDINGS BENEFITS TRUST 2010 401k financial data | ||
Unrealized appreciation/depreciation of other (non real estate) assets | 2010-12-31 | $134,072 |
Total unrealized appreciation/depreciation of assets | 2010-12-31 | $134,072 |
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $243,219 |
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $2,419,798 |
Total income from all sources (including contributions) | 2010-12-31 | $3,078,653 |
Total loss/gain on sale of assets | 2010-12-31 | $0 |
Total of all expenses incurred | 2010-12-31 | $377,864 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $354,817 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $2,895,602 |
Value of total assets at end of year | 2010-12-31 | $2,463,626 |
Value of total assets at beginning of year | 2010-12-31 | $1,939,416 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $23,047 |
Total interest from all sources | 2010-12-31 | $3,038 |
Total dividends received (eg from common stock, registered investment company shares) | 2010-12-31 | $45,941 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
Total dividends received from registered investment company shares (eg mutual funds) | 2010-12-31 | $45,941 |
Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
Value of fidelity bond cover | 2010-12-31 | $500,000 |
If this is an individual account plan, was there a blackout period | 2010-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
Contributions received from participants | 2010-12-31 | $512,222 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $620 |
Other income not declared elsewhere | 2010-12-31 | $1,915,798 |
Total non interest bearing cash at end of year | 2010-12-31 | $643 |
Total non interest bearing cash at beginning of year | 2010-12-31 | $1,169 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
Value of net income/loss | 2010-12-31 | $2,700,789 |
Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $2,220,407 |
Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $-480,382 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
Investment advisory and management fees | 2010-12-31 | $23,047 |
Value of interest in registered invesment companies (eg mutual funds) at end of year | 2010-12-31 | $1,917,407 |
Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2010-12-31 | $1,739,905 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2010-12-31 | $109,636 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2010-12-31 | $116,724 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2010-12-31 | $116,724 |
Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2010-12-31 | $3,038 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
Contributions received in cash from employer | 2010-12-31 | $2,383,380 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-12-31 | $354,817 |
Asset. Corporate debt instrument debt (other) at end of year | 2010-12-31 | $0 |
Asset. Corporate debt instrument debt (other) at beginning of year | 2010-12-31 | $40,750 |
Contract administrator fees | 2010-12-31 | $54,999 |
Assets. Corporate common stocks other than exployer securities at end of year | 2010-12-31 | $435,940 |
Assets. Corporate common stocks other than exployer securities at beginning of year | 2010-12-31 | $40,868 |
Liabilities. Value of benefit claims payable at end of year | 2010-12-31 | $243,219 |
Liabilities. Value of benefit claims payable at beginning of year | 2010-12-31 | $2,419,798 |
Did the plan have assets held for investment | 2010-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Unqualified |
Accountancy firm name | 2010-12-31 | MALONEY & NOVOTNY LLC |
Accountancy firm EIN | 2010-12-31 | 340677006 |
2014: EMPOWERING PEOPLE HOLDINGS BENEFITS TRUST 2014 form 5500 responses | ||
---|---|---|
2014-01-01 | Type of plan entity | Single employer plan |
2014-01-01 | This submission is the final filing | Yes |
2014-01-01 | Plan funding arrangement – Insurance | Yes |
2014-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2014-01-01 | Plan benefit arrangement – Insurance | Yes |
2014-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2013: EMPOWERING PEOPLE HOLDINGS BENEFITS TRUST 2013 form 5500 responses | ||
2013-01-01 | Type of plan entity | Single employer plan |
2013-01-01 | Plan funding arrangement – Insurance | Yes |
2013-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2013-01-01 | Plan benefit arrangement – Insurance | Yes |
2013-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2012: EMPOWERING PEOPLE HOLDINGS BENEFITS TRUST 2012 form 5500 responses | ||
2012-01-01 | Type of plan entity | Single employer plan |
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: EMPOWERING PEOPLE HOLDINGS BENEFITS TRUST 2011 form 5500 responses | ||
2011-01-01 | Type of plan entity | Single employer plan |
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 |
2010: EMPOWERING PEOPLE HOLDINGS BENEFITS TRUST 2010 form 5500 responses | ||
2010-01-01 | Type of plan entity | Single employer plan |
2010-01-01 | Submission has been amended | Yes |
2010-01-01 | This submission is the final filing | No |
2010-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2010-01-01 | Plan is a collectively bargained plan | No |
2010-01-01 | Plan funding arrangement – Insurance | Yes |
2010-01-01 | Plan funding arrangement – Trust | Yes |
2010-01-01 | Plan benefit arrangement – Insurance | Yes |
2010-01-01 | Plan benefit arrangement - Trust | Yes |
2009: EMPOWERING PEOPLE HOLDINGS BENEFITS TRUST 2009 form 5500 responses | ||
2009-01-01 | Type of plan entity | Single employer plan |
2009-01-01 | Submission has been amended | Yes |
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 |