401k Plan data: COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN plan

COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN
Plan identification number	001

COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING 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.

401k Sponsoring company profile

COMMUNITY SERVICES OF ARIZONA has sponsored the creation of one or more 401k plans.

Company Name: COMMUNITY SERVICES OF ARIZONA

Employer identification number (EIN): 237181540

NAIC Classification: 621330
NAIC Description: Offices of Mental Health Practitioners (except Physicians)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 JEFF FEIGHT JEFF FEIGHT 2013-10-09
001 2011-01-01 NOAH SCHWARTZ
001 2009-01-01 KATHY BLACKSTOCK
001 2009-01-01 KATHY BLACKSTOCK
001 2008-01-01 KATHY BLACKSTOCK

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2012-01-01	JEFF FEIGHT	JEFF FEIGHT	2013-10-09
001	2011-01-01	NOAH SCHWARTZ
001	2009-01-01	KATHY BLACKSTOCK
001	2009-01-01	KATHY BLACKSTOCK
001	2008-01-01	KATHY BLACKSTOCK

Plan Statistics for COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN

Measure Date Value
2012: COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 102
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 35
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 25
Total of all active and inactive participants 2012-01-01 60
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 60
Number of participants with account balances 2012-01-01 50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 12
2011: COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 102
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 35
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 25
Total of all active and inactive participants 2011-01-01 60
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 60
Number of participants with account balances 2011-01-01 50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 12
2009: COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 136
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 56
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 37
Total of all active and inactive participants 2009-01-01 93
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 93
Number of participants with account balances 2009-01-01 91
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 15
2008: COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 99
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 68
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 68
Total of all active and inactive participants 2008-01-01 136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2008-01-01 0
Total participants 2008-01-01 136
Number of participants with account balances 2008-01-01 122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-01-01 37

Measure	Date	Value
2012: COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	102
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	35
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	25
Total of all active and inactive participants	2012-01-01	60
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	60
Number of participants with account balances	2012-01-01	50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	12
2011: COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	102
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	35
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	25
Total of all active and inactive participants	2011-01-01	60
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	60
Number of participants with account balances	2011-01-01	50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	12
2009: COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	136
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	56
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	37
Total of all active and inactive participants	2009-01-01	93
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	93
Number of participants with account balances	2009-01-01	91
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	15
2008: COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	99
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	68
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	68
Total of all active and inactive participants	2008-01-01	136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-01-01	0
Total participants	2008-01-01	136
Number of participants with account balances	2008-01-01	122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-01-01	37

Financial Data on COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2012 : COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$39,662
Expenses. Total of all expenses incurred	2012-12-31	$235,088
Benefits paid (including direct rollovers)	2012-12-31	$231,788
Total plan assets at end of year	2012-12-31	$334,045
Total plan assets at beginning of year	2012-12-31	$529,471
Total contributions received or receivable from participants	2012-12-31	$7,452
Other income received	2012-12-31	$32,210
Net income (gross income less expenses)	2012-12-31	$-195,426
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$334,045
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$529,471
Assets. Value of participant loans	2012-12-31	$25,385
Value of certain deemed distributions of participant loans	2012-12-31	$3,300
2011 : COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-30,139
Expenses. Total of all expenses incurred	2011-12-31	$75,293
Benefits paid (including direct rollovers)	2011-12-31	$71,993
Total plan assets at end of year	2011-12-31	$529,471
Total plan assets at beginning of year	2011-12-31	$634,903
Total contributions received or receivable from participants	2011-12-31	$13,193
Contributions received from other sources (not participants or employers)	2011-12-31	$-2,337
Other income received	2011-12-31	$-40,995
Net income (gross income less expenses)	2011-12-31	$-105,432
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$529,471
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$634,903
Assets. Value of participant loans	2011-12-31	$31,511
Value of certain deemed distributions of participant loans	2011-12-31	$3,300
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$65,026
Expenses. Total of all expenses incurred	2010-12-31	$112,496
Benefits paid (including direct rollovers)	2010-12-31	$112,496
Total plan assets at end of year	2010-12-31	$634,903
Total plan assets at beginning of year	2010-12-31	$682,373
Total contributions received or receivable from participants	2010-12-31	$23,889
Contributions received from other sources (not participants or employers)	2010-12-31	$2,690
Other income received	2010-12-31	$38,447
Net income (gross income less expenses)	2010-12-31	$-47,470
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$634,903
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$682,373
Assets. Value of participant loans	2010-12-31	$30,884
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0
2008 : COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN 2008 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2008-12-31	$0

Form 5500 Responses for COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN

2012: COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING 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
2011: COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING 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
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING 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
2009-01-01	Plan benefit arrangement - Trust	Yes
2008: COMMUNITY SERVICES OF ARIZONA 401(K) PROFIT SHARING PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	Yes
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
2008-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	COMMUNITY SERVICES OF ARIZONA
Employer identification number (EIN):	237181540
NAIC Classification:	621330
NAIC Description:	Offices of Mental Health Practitioners (except Physicians)