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WELLSPRING FAMILY SERVICES RETIREMENT SAVINGS PLAN 401k Plan overview

Plan NameWELLSPRING FAMILY SERVICES RETIREMENT SAVINGS PLAN
Plan identification number 003

WELLSPRING FAMILY SERVICES RETIREMENT SAVINGS 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

WELLSPRING FAMILY SERVICES has sponsored the creation of one or more 401k plans.

Company Name:WELLSPRING FAMILY SERVICES
Employer identification number (EIN):910567261
NAIC Classification:624100
NAIC Description: Individual and Family Services

Additional information about WELLSPRING FAMILY SERVICES

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1922-04-03
Company Identification Number: 600351881
Legal Registered Office Address: 1450 5TH AVE STE 4200

SEATTLE
United States of America (USA)
981012314

More information about WELLSPRING FAMILY SERVICES

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WELLSPRING FAMILY SERVICES RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032011-01-01SUSAN SHANNON2012-08-21 SUSAN SHANNON2012-08-21
0032010-01-01SUSAN SHANNON2011-10-14 SUSAN SHANNON2011-10-14

Financial Data on WELLSPRING FAMILY SERVICES RETIREMENT SAVINGS PLAN

Measure Date Value
2011 : WELLSPRING FAMILY SERVICES RETIREMENT SAVINGS PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets2011-10-18$0
Unrealized appreciation/depreciation of other (non real estate) assets2011-10-18$0
Total unrealized appreciation/depreciation of assets2011-10-18$0
Total transfer of assets to this plan2011-10-18$0
Total transfer of assets from this plan2011-10-18$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-18$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-18$0
Total income from all sources (including contributions)2011-10-18$100,318
Total loss/gain on sale of assets2011-10-18$0
Total of all expenses incurred2011-10-18$1,484,152
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-10-18$1,481,915
Expenses. Certain deemed distributions of participant loans2011-10-18$0
Value of total corrective distributions2011-10-18$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-10-18$191,233
Value of total assets at end of year2011-10-18$0
Value of total assets at beginning of year2011-10-18$1,383,834
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-10-18$2,237
Total income from rents2011-10-18$0
Total interest from all sources2011-10-18$4,278
Total dividends received (eg from common stock, registered investment company shares)2011-10-18$3,441
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-10-18No
Total dividends received from registered investment company shares (eg mutual funds)2011-10-18$3,441
Administrative expenses professional fees incurred2011-10-18$0
Was this plan covered by a fidelity bond2011-10-18Yes
Value of fidelity bond cover2011-10-18$1,000,000
If this is an individual account plan, was there a blackout period2011-10-18No
Were there any nonexempt tranactions with any party-in-interest2011-10-18No
Amount of non-exempt transactions with any party-in-interest2011-10-18$0
Contributions received from participants2011-10-18$0
Participant contributions at end of year2011-10-18$0
Participant contributions at beginning of year2011-10-18$28,975
Participant contributions at end of year2011-10-18$0
Participant contributions at beginning of year2011-10-18$0
Income. Received or receivable in cash from other sources (including rollovers)2011-10-18$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-10-18$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-10-18$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-10-18$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-10-18$0
Other income not declared elsewhere2011-10-18$0
Administrative expenses (other) incurred2011-10-18$0
Liabilities. Value of operating payables at beginning of year2011-10-18$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-18No
Value of net income/loss2011-10-18$-1,383,834
Value of net assets at end of year (total assets less liabilities)2011-10-18$0
Value of net assets at beginning of year (total assets less liabilities)2011-10-18$1,383,834
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-10-18No
Were any loans by the plan or fixed income obligations due to the plan in default2011-10-18No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2011-10-18$0
Were any leases to which the plan was party in default or uncollectible2011-10-18No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2011-10-18$0
Investment advisory and management fees2011-10-18$1,194
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-10-18$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-10-18$1,197,362
Interest on participant loans2011-10-18$823
Income. Interest from loans (other than to participants)2011-10-18$0
Interest earned on other investments2011-10-18$3,455
Income. Interest from US Government securities2011-10-18$0
Income. Interest from corporate debt instruments2011-10-18$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-10-18$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-10-18$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-10-18$157,497
Expenses. Payments to insurance carriers foe the provision of benefits2011-10-18$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-10-18$-98,634
Net investment gain/loss from pooled separate accounts2011-10-18$0
Net investment gain or loss from common/collective trusts2011-10-18$0
Net gain/loss from 103.12 investment entities2011-10-18$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-10-18No
Was there a failure to transmit to the plan any participant contributions2011-10-18No
Has the plan failed to provide any benefit when due under the plan2011-10-18No
Contributions received in cash from employer2011-10-18$191,233
Employer contributions (assets) at end of year2011-10-18$0
Employer contributions (assets) at beginning of year2011-10-18$0
Income. Dividends from preferred stock2011-10-18$0
Income. Dividends from common stock2011-10-18$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-10-18$1,481,915
Contract administrator fees2011-10-18$1,043
Liabilities. Value of benefit claims payable at beginning of year2011-10-18$0
Did the plan have assets held for investment2011-10-18No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-18No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-10-18Yes
Aggregate proceeds on sale of assets2011-10-18$0
Aggregate carrying amount (costs) on sale of assets2011-10-18$0
Liabilities. Value of acquisition indebtedness at beginning of year2011-10-18$0

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