401k Plan data: MIDAS CREEK HOME HEALTH 401(K) PLAN plan

MIDAS CREEK HOME HEALTH 401(K) PLAN 401k Plan overview

Plan Name	MIDAS CREEK HOME HEALTH 401(K) PLAN
Plan identification number	001

MIDAS CREEK HOME HEALTH 401(K) 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.
Participant-directed brokerage accounts provided as an investment option under the plan.

401k Sponsoring company profile

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

Company Name: MIDAS CREEK HOME CARE, INC.

Employer identification number (EIN): 205840885

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MIDAS CREEK HOME HEALTH 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 LEISA SANCHEZ
001 2014-01-01 LEISA SANCHEZ
001 2013-01-01 LEISA SANCHEZ
001 2012-01-01 LEISA SANCHEZ

Plan id#	Filing Submission Date	Name of Administrator
001	2015-01-01	LEISA SANCHEZ
001	2014-01-01	LEISA SANCHEZ
001	2013-01-01	LEISA SANCHEZ
001	2012-01-01	LEISA SANCHEZ

Plan Statistics for MIDAS CREEK HOME HEALTH 401(K) PLAN

401k plan membership statisitcs for MIDAS CREEK HOME HEALTH 401(K) PLAN

Measure Date Value
2015: MIDAS CREEK HOME HEALTH 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 20
Total of all active and inactive participants 2015-01-01 20
Total participants 2015-01-01 20
Number of participants with account balances 2015-01-01 20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: MIDAS CREEK HOME HEALTH 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 12
Number of retired or separated participants receiving benefits 2014-01-01 8
Total of all active and inactive participants 2014-01-01 20
Total participants 2014-01-01 20
Number of participants with account balances 2014-01-01 19
2013: MIDAS CREEK HOME HEALTH 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 22
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 15
Number of other retired or separated participants entitled to future benefits 2013-01-01 6
Total of all active and inactive participants 2013-01-01 21
Total participants 2013-01-01 21
Number of participants with account balances 2013-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: MIDAS CREEK HOME HEALTH 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 16
Number of other retired or separated participants entitled to future benefits 2012-01-01 4
Total of all active and inactive participants 2012-01-01 20
Total participants 2012-01-01 20
Number of participants with account balances 2012-01-01 18

Measure	Date	Value
2015: MIDAS CREEK HOME HEALTH 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	20
Total of all active and inactive participants	2015-01-01	20
Total participants	2015-01-01	20
Number of participants with account balances	2015-01-01	20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: MIDAS CREEK HOME HEALTH 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	12
Number of retired or separated participants receiving benefits	2014-01-01	8
Total of all active and inactive participants	2014-01-01	20
Total participants	2014-01-01	20
Number of participants with account balances	2014-01-01	19
2013: MIDAS CREEK HOME HEALTH 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	22
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	15
Number of other retired or separated participants entitled to future benefits	2013-01-01	6
Total of all active and inactive participants	2013-01-01	21
Total participants	2013-01-01	21
Number of participants with account balances	2013-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: MIDAS CREEK HOME HEALTH 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	16
Number of other retired or separated participants entitled to future benefits	2012-01-01	4
Total of all active and inactive participants	2012-01-01	20
Total participants	2012-01-01	20
Number of participants with account balances	2012-01-01	18

Financial Data on MIDAS CREEK HOME HEALTH 401(K) PLAN

Measure	Date	Value
2015 : MIDAS CREEK HOME HEALTH 401(K) PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$69,088
Expenses. Total of all expenses incurred	2015-12-31	$4,063
Total plan assets at end of year	2015-12-31	$360,125
Total plan assets at beginning of year	2015-12-31	$295,100
Value of fidelity bond covering the plan	2015-12-31	$50,000
Total contributions received or receivable from participants	2015-12-31	$58,250
Other income received	2015-12-31	$-3,909
Net income (gross income less expenses)	2015-12-31	$65,025
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$360,125
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$295,100
Total contributions received or receivable from employer(s)	2015-12-31	$14,747
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$4,063
2014 : MIDAS CREEK HOME HEALTH 401(K) PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$108,528
Expenses. Total of all expenses incurred	2014-12-31	$10,684
Benefits paid (including direct rollovers)	2014-12-31	$7,407
Total plan assets at end of year	2014-12-31	$295,100
Total plan assets at beginning of year	2014-12-31	$197,256
Value of fidelity bond covering the plan	2014-12-31	$25,000
Total contributions received or receivable from participants	2014-12-31	$77,635
Expenses. Other expenses not covered elsewhere	2014-12-31	$3,277
Other income received	2014-12-31	$12,029
Net income (gross income less expenses)	2014-12-31	$97,844
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$295,100
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$197,256
Total contributions received or receivable from employer(s)	2014-12-31	$18,864
2013 : MIDAS CREEK HOME HEALTH 401(K) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$114,132
Expenses. Total of all expenses incurred	2013-12-31	$5,628
Benefits paid (including direct rollovers)	2013-12-31	$3,543
Total plan assets at end of year	2013-12-31	$197,256
Total plan assets at beginning of year	2013-12-31	$88,752
Value of fidelity bond covering the plan	2013-12-31	$25,000
Total contributions received or receivable from participants	2013-12-31	$252
Expenses. Other expenses not covered elsewhere	2013-12-31	$2,085
Contributions received from other sources (not participants or employers)	2013-12-31	$79,053
Other income received	2013-12-31	$16,248
Net income (gross income less expenses)	2013-12-31	$108,504
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$197,256
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$88,752
Total contributions received or receivable from employer(s)	2013-12-31	$18,579
2012 : MIDAS CREEK HOME HEALTH 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$89,039
Expenses. Total of all expenses incurred	2012-12-31	$344
Total plan assets at end of year	2012-12-31	$88,695
Value of fidelity bond covering the plan	2012-12-31	$25,000
Total contributions received or receivable from participants	2012-12-31	$68,244
Expenses. Other expenses not covered elsewhere	2012-12-31	$344
Other income received	2012-12-31	$2,554
Net income (gross income less expenses)	2012-12-31	$88,695
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$88,695
Total contributions received or receivable from employer(s)	2012-12-31	$18,241

Form 5500 Responses for MIDAS CREEK HOME HEALTH 401(K) PLAN

2015: MIDAS CREEK HOME HEALTH 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MIDAS CREEK HOME HEALTH 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MIDAS CREEK HOME HEALTH 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MIDAS CREEK HOME HEALTH 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
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

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

17767

Policy instance

Insurance contract or identification number	17767
Number of Individuals Covered	20
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $801
Total amount of fees paid to insurance company	USD $30
Commission paid to Insurance Broker	USD $801
Amount paid for insurance broker fees	30
Additional information about fees paid to insurance broker	ADVISORY SERVICES
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

17767

Policy instance

Insurance contract or identification number	17767
Number of Individuals Covered	19
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $587
Total amount of fees paid to insurance company	USD $36
Commission paid to Insurance Broker	USD $587
Amount paid for insurance broker fees	36
Additional information about fees paid to insurance broker	ADVISORY SERVICES
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

17767

Policy instance

Insurance contract or identification number	17767
Number of Individuals Covered	20
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $309
Total amount of fees paid to insurance company	USD $25
Commission paid to Insurance Broker	USD $309
Amount paid for insurance broker fees	25
Additional information about fees paid to insurance broker	ADVISORY SERVICES
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

17767

Policy instance

Insurance contract or identification number	17767
Number of Individuals Covered	19
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $865
Total amount of fees paid to insurance company	USD $26
Commission paid to Insurance Broker	USD $865
Amount paid for insurance broker fees	26
Additional information about fees paid to insurance broker	ADVISORY SERVICES
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

Potentially related plans

MIDAS CREEK HOME HEALTH 401(K) PLAN [EIN = 814283251]

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Company Name:	MIDAS CREEK HOME CARE, INC.
Employer identification number (EIN):	205840885
NAIC Classification:	621610
NAIC Description:	Home Health Care Services