401k Plan data: AT HOME CARE 403(B) PLAN plan

AT HOME CARE 403(B) PLAN 401k Plan overview

Plan Name	AT HOME CARE 403(B) PLAN
Plan identification number	001

AT HOME CARE 403(B) 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.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
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

AT HOME CARE, INC. has sponsored the creation of one or more 401k plans.

Company Name: AT HOME CARE, INC.

Employer identification number (EIN): 161287069

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Additional information about AT HOME CARE, INC.

Jurisdiction of Incorporation: California Department of State

Incorporation Date: 2004-07-23

Company Identification Number: C2627185

Legal Registered Office Address: 81 Sea Bridge Way

Alameda
United States of America (USA)
94502

More information about AT HOME CARE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AT HOME CARE 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 LAURIE NEANDER 2018-08-01
001 2016-01-01 LAURIE NEANDER 2017-08-28 LAURIE NEANDER 2017-08-28
001 2015-01-01 LAURIE NEANDER 2016-07-21 LAURIE NEANDER 2016-07-21
001 2014-01-01 LAURIE NEANDER 2015-10-13
001 2013-01-01 LAURIE NEANDER 2014-12-23
001 2012-01-01 LAURIE NEANDER 2014-12-23
001 2011-01-01 KRISTIN SIMONDS 2012-08-22
001 2010-01-01 MARK TSIAMES 2011-09-20

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	LAURIE NEANDER	2018-08-01
001	2016-01-01	LAURIE NEANDER	2017-08-28	LAURIE NEANDER	2017-08-28
001	2015-01-01	LAURIE NEANDER	2016-07-21	LAURIE NEANDER	2016-07-21
001	2014-01-01	LAURIE NEANDER	2015-10-13
001	2013-01-01	LAURIE NEANDER	2014-12-23
001	2012-01-01	LAURIE NEANDER	2014-12-23
001	2011-01-01	KRISTIN SIMONDS	2012-08-22
001	2010-01-01	MARK TSIAMES	2011-09-20

Plan Statistics for AT HOME CARE 403(B) PLAN

401k plan membership statisitcs for AT HOME CARE 403(B) PLAN

Measure Date Value
2022: AT HOME CARE 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 112
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 70
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 34
Total of all active and inactive participants 2022-01-01 104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 104
Number of participants with account balances 2022-01-01 67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: AT HOME CARE 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 114
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 68
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 44
Total of all active and inactive participants 2021-01-01 112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 112
Number of participants with account balances 2021-01-01 68
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: AT HOME CARE 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 115
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 69
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 45
Total of all active and inactive participants 2020-01-01 114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 114
Number of participants with account balances 2020-01-01 76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: AT HOME CARE 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 124
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 84
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 31
Total of all active and inactive participants 2019-01-01 115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 115
Number of participants with account balances 2019-01-01 87
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: AT HOME CARE 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 139
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 97
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 26
Total of all active and inactive participants 2018-01-01 123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 123
Number of participants with account balances 2018-01-01 83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0

Measure	Date	Value
2022: AT HOME CARE 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	112
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	70
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	34
Total of all active and inactive participants	2022-01-01	104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	104
Number of participants with account balances	2022-01-01	67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: AT HOME CARE 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	68
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	44
Total of all active and inactive participants	2021-01-01	112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	112
Number of participants with account balances	2021-01-01	68
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: AT HOME CARE 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	115
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	69
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	45
Total of all active and inactive participants	2020-01-01	114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	114
Number of participants with account balances	2020-01-01	76
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: AT HOME CARE 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	84
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	31
Total of all active and inactive participants	2019-01-01	115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	115
Number of participants with account balances	2019-01-01	87
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: AT HOME CARE 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	139
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	97
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	26
Total of all active and inactive participants	2018-01-01	123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	123
Number of participants with account balances	2018-01-01	83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0

Financial Data on AT HOME CARE 403(B) PLAN

Measure	Date	Value
2022 : AT HOME CARE 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-743,294
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$127,474
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$124,996
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$218,439
Value of total assets at end of year	2022-12-31	$3,392,080
Value of total assets at beginning of year	2022-12-31	$4,262,848
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$2,478
Total interest from all sources	2022-12-31	$1,767
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$187,530
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$187,530
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$168,500
Participant contributions at end of year	2022-12-31	$21,748
Participant contributions at beginning of year	2022-12-31	$35,276
Administrative expenses (other) incurred	2022-12-31	$2,478
Total non interest bearing cash at end of year	2022-12-31	$17,360
Total non interest bearing cash at beginning of year	2022-12-31	$2,533
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-870,768
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$3,392,080
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$4,262,848
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$3,249,618
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$4,191,830
Value of interest in pooled separate accounts at end of year	2022-12-31	$56,915
Interest on participant loans	2022-12-31	$1,138
Interest earned on other investments	2022-12-31	$113
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$38,004
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$33,209
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$33,209
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$516
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$3,950
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-1,140,051
Net investment gain/loss from pooled separate accounts	2022-12-31	$-10,979
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$49,939
Employer contributions (assets) at end of year	2022-12-31	$4,485
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$124,996
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	BONADIO & CO., LLP
Accountancy firm EIN	2022-12-31	161131146
2021 : AT HOME CARE 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$853,145
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$665,892
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$663,794
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$209,812
Value of total assets at end of year	2021-12-31	$4,262,848
Value of total assets at beginning of year	2021-12-31	$4,075,595
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$2,098
Total interest from all sources	2021-12-31	$978
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$252,420
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$252,420
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$160,995
Participant contributions at end of year	2021-12-31	$35,276
Participant contributions at beginning of year	2021-12-31	$14,406
Administrative expenses (other) incurred	2021-12-31	$2,098
Total non interest bearing cash at end of year	2021-12-31	$2,533
Total non interest bearing cash at beginning of year	2021-12-31	$743
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$187,253
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$4,262,848
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$4,075,595
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$4,191,830
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$4,029,063
Interest on participant loans	2021-12-31	$970
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$33,209
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$31,383
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$31,383
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$8
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$389,935
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$48,817
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$663,794
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	BONADIO & CO., LLP
Accountancy firm EIN	2021-12-31	161131146
2020 : AT HOME CARE 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$836,390
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$245,490
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$243,725
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$189,873
Value of total assets at end of year	2020-12-31	$4,075,595
Value of total assets at beginning of year	2020-12-31	$3,484,695
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$1,765
Total interest from all sources	2020-12-31	$1,072
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$144,005
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$144,005
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$385,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$141,958
Participant contributions at end of year	2020-12-31	$14,406
Participant contributions at beginning of year	2020-12-31	$32,940
Administrative expenses (other) incurred	2020-12-31	$1,765
Total non interest bearing cash at end of year	2020-12-31	$743
Total non interest bearing cash at beginning of year	2020-12-31	$260
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$590,900
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$4,075,595
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$3,484,695
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$4,029,063
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$3,414,523
Interest on participant loans	2020-12-31	$962
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$31,383
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$36,972
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$36,972
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$110
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$501,440
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$47,915
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$243,725
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	BONADIO & CO., LLP
Accountancy firm EIN	2020-12-31	161131146
2019 : AT HOME CARE 403(B) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$959,254
Total income from all sources (including contributions)	2019-12-31	$959,254
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$305,059
Total of all expenses incurred	2019-12-31	$305,059
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$303,765
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$303,765
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$255,286
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$255,286
Value of total assets at end of year	2019-12-31	$3,484,695
Value of total assets at end of year	2019-12-31	$3,484,695
Value of total assets at beginning of year	2019-12-31	$2,830,500
Value of total assets at beginning of year	2019-12-31	$2,830,500
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$1,294
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$1,294
Total interest from all sources	2019-12-31	$3,251
Total interest from all sources	2019-12-31	$3,251
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$118,405
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$118,405
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$118,405
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$118,405
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$80,000
Value of fidelity bond cover	2019-12-31	$80,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$186,430
Contributions received from participants	2019-12-31	$186,430
Participant contributions at end of year	2019-12-31	$32,940
Participant contributions at end of year	2019-12-31	$32,940
Participant contributions at beginning of year	2019-12-31	$63,015
Participant contributions at beginning of year	2019-12-31	$63,015
Administrative expenses (other) incurred	2019-12-31	$1,294
Administrative expenses (other) incurred	2019-12-31	$1,294
Total non interest bearing cash at end of year	2019-12-31	$260
Total non interest bearing cash at end of year	2019-12-31	$260
Total non interest bearing cash at beginning of year	2019-12-31	$11,772
Total non interest bearing cash at beginning of year	2019-12-31	$11,772
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$654,195
Value of net income/loss	2019-12-31	$654,195
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$3,484,695
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$3,484,695
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$2,830,500
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$2,830,500
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$3,414,523
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$3,414,523
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$2,725,892
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$2,725,892
Interest on participant loans	2019-12-31	$2,601
Interest on participant loans	2019-12-31	$2,601
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$36,972
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$36,972
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$29,821
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$29,821
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$29,821
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$29,821
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$650
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$650
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$582,312
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$582,312
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$68,856
Contributions received in cash from employer	2019-12-31	$68,856
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$303,765
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$303,765
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	BONADIO & CO., LLP
Accountancy firm name	2019-12-31	BONADIO & CO., LLP
Accountancy firm EIN	2019-12-31	161131146
Accountancy firm EIN	2019-12-31	161131146
2018 : AT HOME CARE 403(B) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$136,398
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$488,720
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$486,040
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$306,208
Value of total assets at end of year	2018-12-31	$2,830,500
Value of total assets at beginning of year	2018-12-31	$3,182,822
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$2,680
Total interest from all sources	2018-12-31	$2,865
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$180,143
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$180,143
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$80,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$214,810
Participant contributions at end of year	2018-12-31	$63,015
Participant contributions at beginning of year	2018-12-31	$42,400
Participant contributions at beginning of year	2018-12-31	$11,641
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$2,517
Administrative expenses (other) incurred	2018-12-31	$2,680
Total non interest bearing cash at end of year	2018-12-31	$11,772
Total non interest bearing cash at beginning of year	2018-12-31	$167
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-352,322
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$2,830,500
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$3,182,822
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$2,725,892
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$3,108,175
Interest on participant loans	2018-12-31	$2,489
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$29,821
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$19,573
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$19,573
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$376
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-352,818
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$88,881
Employer contributions (assets) at beginning of year	2018-12-31	$866
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$486,040
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	BONADIO & CO., LLP
Accountancy firm EIN	2018-12-31	161131146

Form 5500 Responses for AT HOME CARE 403(B) PLAN

2022: AT HOME CARE 403(B) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: AT HOME CARE 403(B) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: AT HOME CARE 403(B) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: AT HOME CARE 403(B) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: AT HOME CARE 403(B) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

745628-01

Policy instance

Insurance contract or identification number	745628-01
Number of Individuals Covered	6
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $206
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $103
Insurance broker organization code?	3

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Company Name:	AT HOME CARE, INC.
Employer identification number (EIN):	161287069
NAIC Classification:	621610
NAIC Description:	Home Health Care Services

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:	2004-07-23
Company Identification Number:	C2627185
Legal Registered Office Address:	81 Sea Bridge Way Alameda United States of America (USA) 94502