401k Plan data: ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN plan

ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN 401k Plan overview

Plan Name	ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN
Plan identification number	001

ALLIANCE HOME HEALTH, INC. 401(K) P/S 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.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

ALLIANCE HOME HEALTH, INC. has sponsored the creation of one or more 401k plans.

Company Name: ALLIANCE HOME HEALTH, INC.

Employer identification number (EIN): 201657334

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 ROSEMARY ALLRED 2016-07-25
001 2014-01-01 ROSEMARY ALLRED 2015-06-09
001 2013-01-01 ROSEMARY ALLRED 2014-07-21
001 2012-01-01 ROSEMARY S. ALLRED 2013-06-18
001 2011-01-01 MARY ALLRED
001 2010-01-01 MARY ALLRED
001 2009-01-01 MARY S. ALLRED
001 2008-01-01 MARY ALLRED

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2015-01-01	ROSEMARY ALLRED	2016-07-25
001	2014-01-01	ROSEMARY ALLRED	2015-06-09
001	2013-01-01	ROSEMARY ALLRED	2014-07-21
001	2012-01-01	ROSEMARY S. ALLRED	2013-06-18
001	2011-01-01	MARY ALLRED
001	2010-01-01	MARY ALLRED
001	2009-01-01	MARY S. ALLRED
001	2008-01-01	MARY ALLRED

Plan Statistics for ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN

401k plan membership statisitcs for ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN

Measure Date Value
2011: ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
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 1
Total of all active and inactive participants 2011-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1
Number of participants with account balances 2011-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 4
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 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 4
Number of participants with account balances 2010-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 3
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 1
Total of all active and inactive participants 2009-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 4
Number of participants with account balances 2009-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0
2008: ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 5
Number of retired or separated participants receiving benefits 2008-01-01 0
Number of other retired or separated participants entitled to future benefits 2008-01-01 1
Total of all active and inactive participants 2008-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2008-01-01 0
Total participants 2008-01-01 6
Number of participants with account balances 2008-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-01-01 1

Measure	Date	Value
2011: ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
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	1
Total of all active and inactive participants	2011-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1
Number of participants with account balances	2011-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	4
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	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	4
Number of participants with account balances	2010-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3
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	1
Total of all active and inactive participants	2009-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	4
Number of participants with account balances	2009-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0
2008: ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	5
Number of retired or separated participants receiving benefits	2008-01-01	0
Number of other retired or separated participants entitled to future benefits	2008-01-01	1
Total of all active and inactive participants	2008-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-01-01	0
Total participants	2008-01-01	6
Number of participants with account balances	2008-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-01-01	1

Financial Data on ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN

Measure	Date	Value
2011 : ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total income from all sources	2011-12-31	$-7
Expenses. Total of all expenses incurred	2011-12-31	$275
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$82
Total plan assets at beginning of year	2011-12-31	$364
Value of fidelity bond covering the plan	2011-12-31	$75,000
Total contributions received or receivable from participants	2011-12-31	$0
Expenses. Other expenses not covered elsewhere	2011-12-31	$275
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-7
Net income (gross income less expenses)	2011-12-31	$-282
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$82
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$364
Assets. Value of participant loans	2011-12-31	$0
Total contributions received or receivable from employer(s)	2011-12-31	$0
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
2010 : ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total income from all sources	2010-12-31	$54
Expenses. Total of all expenses incurred	2010-12-31	$256
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$364
Total plan assets at beginning of year	2010-12-31	$566
Value of fidelity bond covering the plan	2010-12-31	$75,000
Total contributions received or receivable from participants	2010-12-31	$0
Expenses. Other expenses not covered elsewhere	2010-12-31	$256
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$54
Net income (gross income less expenses)	2010-12-31	$-202
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$364
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$566
Assets. Value of participant loans	2010-12-31	$0
Total contributions received or receivable from employer(s)	2010-12-31	$0
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
2009 : ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$0
Amount contributed by the employer to the plan for this plan year	2009-12-31	$0
2008 : ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN 2008 401k financial data
Total income from all sources	2008-12-31	$10,862
Expenses. Total of all expenses incurred	2008-12-31	$4,785
Benefits paid (including direct rollovers)	2008-12-31	$4,469
Total plan assets at end of year	2008-12-31	$23,193
Total plan assets at beginning of year	2008-12-31	$17,116
Value of fidelity bond covering the plan	2008-12-31	$75,000
Total contributions received or receivable from participants	2008-12-31	$18,622
Contributions received from other sources (not participants or employers)	2008-12-31	$0
Other income received	2008-12-31	$-16,271
Net income (gross income less expenses)	2008-12-31	$6,077
Net plan assets at end of year (total assets less liabilities)	2008-12-31	$23,193
Net plan assets at beginning of year (total assets less liabilities)	2008-12-31	$17,116
Total contributions received or receivable from employer(s)	2008-12-31	$8,511
Value of certain deemed distributions of participant loans	2008-12-31	$0
Value of corrective distributions	2008-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2008-12-31	$316

Form 5500 Responses for ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN

2011: ALLIANCE HOME HEALTH, INC. 401(K) P/S 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
2010: ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
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
2009: ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
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
2008: ALLIANCE HOME HEALTH, INC. 401(K) P/S PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan funding arrangement – Trust	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-806571
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-806571
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-806571
Policy instance	1

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Company Name:	ALLIANCE HOME HEALTH, INC.
Employer identification number (EIN):	201657334
NAIC Classification:	621610
NAIC Description:	Home Health Care Services