COMMUNITY BASED SERVICES, INC. 401k Plan overview
| Plan Name | COMMUNITY BASED SERVICES, INC. |
| Plan identification number | 501 |
COMMUNITY BASED SERVICES, INC. Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Health (other than dental or vision)
- Vision
- Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
|
401k Sponsoring company profile
COMMUNITY BASED SERVICES, INC. has sponsored the creation of one or more 401k plans.
| Company Name: | COMMUNITY BASED SERVICES, INC. |
| Employer identification number (EIN): | 133070655 |
| NAIC Classification: | 813000 |
| NAIC Description: | Religious, Grantmaking, Civic, Professional, and Similar Organizations |
Additional information about COMMUNITY BASED SERVICES, INC.
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 1981-03-19 |
| Company Identification Number: | 686707 |
| Legal Registered Office Address: |
3 fields lane
Westchester
NORTH SALEM
United States of America (USA)
10560
|
More information about COMMUNITY BASED SERVICES, INC.
Form 5500 Filing Information
Submission information for form 5500 for 401k plan COMMUNITY BASED SERVICES, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 501 | 2017-12-01 | VICKY SYLVESTER | 2019-06-18 | | |
Plan Statistics for COMMUNITY BASED SERVICES, INC.
401k plan membership statisitcs for COMMUNITY BASED SERVICES, INC.
| Measure | Date | Value |
|---|
| 2017: COMMUNITY BASED SERVICES, INC. 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-12-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-12-01 | 99 |
| Number of retired or separated participants receiving benefits | 2017-12-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2017-12-01 | 3 |
| Total of all active and inactive participants | 2017-12-01 | 103 |
| Number of employers contributing to the scheme | 2017-12-01 | 0 |
Form 5500 Responses for COMMUNITY BASED SERVICES, INC.
| 2017: COMMUNITY BASED SERVICES, INC. 2017 form 5500 responses |
|---|
| 2017-12-01 | Type of plan entity | Single employer plan |
| 2017-12-01 | First time form 5500 has been submitted | Yes |
| 2017-12-01 | Plan funding arrangement – Insurance | Yes |
| 2017-12-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 721402 |
| Policy instance | 1 |
| Insurance contract or identification number | 721402 | | Number of Individuals Covered | 164 | | Insurance policy start date | 2017-12-01 | | Insurance policy end date | 2018-11-30 | | Total amount of commissions paid to insurance broker | USD $52,166 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,372,707 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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