401k Plan data: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN plan

EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 401k Plan overview

Plan Name	EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN
Plan identification number	001

EVERGREEN HOME HEALTHCARE, LLC 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

EVERGREEN HOME HEALTHCARE, LLC has sponsored the creation of one or more 401k plans.

Company Name: EVERGREEN HOME HEALTHCARE, LLC

Employer identification number (EIN): 260460739

NAIC Classification: 621112
NAIC Description: Offices of Physicians, Mental Health Specialists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01
001 2021-01-01 AARON ELLSWORTH
001 2020-01-01
001 2019-01-01
001 2017-01-01 AARON ELLSWORTH
001 2016-01-01 AARON ELLSWORTH
001 2015-01-01 AARON ELLSWORTH
001 2014-01-01 AARON ELLSWORTH
001 2013-01-01 AARON ELLSWORTH
001 2012-01-01 AARON ELLSWORTH 2013-05-14
001 2011-01-01 AARON ELLSWORTH 2012-07-13
001 2010-01-01 AARON ELLSWORTH 2011-05-27

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2021-01-01
001	2021-01-01	AARON ELLSWORTH
001	2020-01-01
001	2019-01-01
001	2017-01-01	AARON ELLSWORTH
001	2016-01-01	AARON ELLSWORTH
001	2015-01-01	AARON ELLSWORTH
001	2014-01-01	AARON ELLSWORTH
001	2013-01-01	AARON ELLSWORTH
001	2012-01-01	AARON ELLSWORTH	2013-05-14
001	2011-01-01	AARON ELLSWORTH	2012-07-13
001	2010-01-01	AARON ELLSWORTH	2011-05-27

Plan Statistics for EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN

401k plan membership statisitcs for EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN

Measure Date Value
2021: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 281
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
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 0
Total of all active and inactive participants 2021-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 0
Number of participants with account balances 2021-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 304
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 234
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 51
Total of all active and inactive participants 2020-01-01 285
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 285
Number of participants with account balances 2020-01-01 158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 3
2019: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 279
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 243
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 60
Total of all active and inactive participants 2019-01-01 303
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 303
Number of participants with account balances 2019-01-01 187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 4
2017: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 233
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 172
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 57
Total of all active and inactive participants 2017-01-01 229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 229
Number of participants with account balances 2017-01-01 173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 13
2016: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 246
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 167
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 56
Total of all active and inactive participants 2016-01-01 223
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 223
Number of participants with account balances 2016-01-01 164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 17
2015: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 177
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 165
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 21
Total of all active and inactive participants 2015-01-01 186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 186
Number of participants with account balances 2015-01-01 117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 19
2014: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 156
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 150
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 23
Total of all active and inactive participants 2014-01-01 173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 173
Number of participants with account balances 2014-01-01 111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 4
2013: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 146
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 125
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 19
Total of all active and inactive participants 2013-01-01 144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 144
Number of participants with account balances 2013-01-01 46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 7

Measure	Date	Value
2021: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
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	0
Total of all active and inactive participants	2021-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	0
Number of participants with account balances	2021-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	304
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	234
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	51
Total of all active and inactive participants	2020-01-01	285
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	285
Number of participants with account balances	2020-01-01	158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	3
2019: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	279
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	243
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	60
Total of all active and inactive participants	2019-01-01	303
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	303
Number of participants with account balances	2019-01-01	187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	4
2017: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	233
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	172
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	57
Total of all active and inactive participants	2017-01-01	229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	229
Number of participants with account balances	2017-01-01	173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	13
2016: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	246
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	167
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	56
Total of all active and inactive participants	2016-01-01	223
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	223
Number of participants with account balances	2016-01-01	164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	17
2015: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	177
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	165
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	21
Total of all active and inactive participants	2015-01-01	186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	186
Number of participants with account balances	2015-01-01	117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	19
2014: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	156
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	150
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	23
Total of all active and inactive participants	2014-01-01	173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	173
Number of participants with account balances	2014-01-01	111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	4
2013: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	146
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	125
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	19
Total of all active and inactive participants	2013-01-01	144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	144
Number of participants with account balances	2013-01-01	46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	7

Financial Data on EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN

Measure	Date	Value
2021 : EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-10-26	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-10-26	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-10-26	$0
Total income from all sources (including contributions)	2021-10-26	$146,705
Total loss/gain on sale of assets	2021-10-26	$0
Total of all expenses incurred	2021-10-26	$2,283,338
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-10-26	$2,274,852
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-10-26	$0
Value of total assets at end of year	2021-10-26	$0
Value of total assets at beginning of year	2021-10-26	$2,136,633
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-10-26	$8,486
Total interest from all sources	2021-10-26	$886
Total dividends received (eg from common stock, registered investment company shares)	2021-10-26	$6,632
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-10-26	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2021-10-26	$0
Total dividends received from registered investment company shares (eg mutual funds)	2021-10-26	$6,632
Was this plan covered by a fidelity bond	2021-10-26	Yes
Value of fidelity bond cover	2021-10-26	$214,000
If this is an individual account plan, was there a blackout period	2021-10-26	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-10-26	$0
Were there any nonexempt tranactions with any party-in-interest	2021-10-26	No
Participant contributions at end of year	2021-10-26	$0
Participant contributions at beginning of year	2021-10-26	$32,623
Participant contributions at end of year	2021-10-26	$0
Participant contributions at beginning of year	2021-10-26	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-10-26	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-10-26	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-10-26	No
Value of net income/loss	2021-10-26	$-2,136,633
Value of net assets at end of year (total assets less liabilities)	2021-10-26	$0
Value of net assets at beginning of year (total assets less liabilities)	2021-10-26	$2,136,633
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-10-26	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-10-26	No
Were any leases to which the plan was party in default or uncollectible	2021-10-26	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-10-26	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-10-26	$2,102,453
Interest on participant loans	2021-10-26	$886
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-10-26	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-10-26	$1,557
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-10-26	$1,557
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-10-26	$139,187
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-10-26	No
Was there a failure to transmit to the plan any participant contributions	2021-10-26	No
Has the plan failed to provide any benefit when due under the plan	2021-10-26	No
Employer contributions (assets) at end of year	2021-10-26	$0
Employer contributions (assets) at beginning of year	2021-10-26	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-10-26	$2,274,852
Contract administrator fees	2021-10-26	$8,486
Did the plan have assets held for investment	2021-10-26	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	2021-10-26	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-10-26	Yes
Opinion of an independent qualified public accountant for this plan	2021-10-26	Unqualified
Accountancy firm name	2021-10-26	BROCK AND COMPANY CPAS P.C.
Accountancy firm EIN	2021-10-26	840930288
2020 : EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S 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	$593,907
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$457,134
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$425,544
Value of total corrective distributions	2020-12-31	$6,264
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$254,672
Value of total assets at end of year	2020-12-31	$2,136,633
Value of total assets at beginning of year	2020-12-31	$1,999,860
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$25,326
Total interest from all sources	2020-12-31	$1,481
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$69,754
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2020-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$69,754
Administrative expenses professional fees incurred	2020-12-31	$13,184
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$201,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$254,649
Participant contributions at end of year	2020-12-31	$32,623
Participant contributions at beginning of year	2020-12-31	$24,696
Participant contributions at end of year	2020-12-31	$0
Participant contributions at beginning of year	2020-12-31	$60,876
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$0
Other income not declared elsewhere	2020-12-31	$854
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	$136,773
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$2,136,633
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$1,999,860
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	$2,102,453
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$1,911,803
Interest on participant loans	2020-12-31	$1,474
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$1,557
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$2,485
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$2,485
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$7
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$267,146
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	Yes
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	$23
Employer contributions (assets) at end of year	2020-12-31	$0
Employer contributions (assets) at beginning of year	2020-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$425,544
Contract administrator fees	2020-12-31	$12,142
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	Unqualified
Accountancy firm name	2020-12-31	BROCK AND COMPANY CPAS P.C.
Accountancy firm EIN	2020-12-31	840930288
2019 : EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2019 401k financial data
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 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	$690,188
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$134,319
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$110,527
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$343,411
Value of total assets at end of year	2019-12-31	$1,999,860
Value of total assets at beginning of year	2019-12-31	$1,443,991
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$23,792
Total interest from all sources	2019-12-31	$1,069
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$75,677
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	$75,677
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$145,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$343,411
Participant contributions at end of year	2019-12-31	$24,696
Participant contributions at beginning of year	2019-12-31	$4,930
Participant contributions at end of year	2019-12-31	$60,876
Participant contributions at beginning of year	2019-12-31	$9,112
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$0
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	$555,869
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$1,999,860
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,443,991
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 leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$10,912
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,911,803
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,426,751
Interest on participant loans	2019-12-31	$1,024
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$2,485
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$3,198
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$3,198
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$45
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$270,031
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	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$110,527
Contract administrator fees	2019-12-31	$12,880
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
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
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	BROCK AND COMPANY CPAS P.C.
Accountancy firm EIN	2019-12-31	840930288
2018 : EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S 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	$180,441
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$39,162
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$16,145
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$274,561
Value of total assets at end of year	2018-12-31	$1,443,991
Value of total assets at beginning of year	2018-12-31	$1,302,712
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$23,017
Total interest from all sources	2018-12-31	$300
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$73,780
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	$73,780
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$130,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$274,561
Participant contributions at end of year	2018-12-31	$4,930
Participant contributions at beginning of year	2018-12-31	$4,131
Participant contributions at end of year	2018-12-31	$9,112
Participant contributions at beginning of year	2018-12-31	$19,263
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$173
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	$141,279
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,443,991
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,302,712
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	$1,426,751
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$1,268,862
Income. Interest from loans (other than to participants)	2018-12-31	$235
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$3,198
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$10,283
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$10,283
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$65
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-168,200
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	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Employer contributions (assets) at end of year	2018-12-31	$0
Employer contributions (assets) at beginning of year	2018-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$16,145
Contract administrator fees	2018-12-31	$23,017
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	BROCK AND COMPANY PCAS P.C.
Accountancy firm EIN	2018-12-31	840930288
2017 : EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$432,838
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$88,406
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$69,829
Value of total corrective distributions	2017-12-31	$1,456
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$230,960
Value of total assets at end of year	2017-12-31	$1,302,712
Value of total assets at beginning of year	2017-12-31	$958,280
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$17,121
Total interest from all sources	2017-12-31	$290
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$200,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$230,960
Participant contributions at end of year	2017-12-31	$4,131
Participant contributions at beginning of year	2017-12-31	$1,570
Participant contributions at end of year	2017-12-31	$19,263
Participant contributions at beginning of year	2017-12-31	$15,407
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$173
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$344,432
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,302,712
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$958,280
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$1,268,862
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$936,887
Interest on participant loans	2017-12-31	$248
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$10,283
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$4,416
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$4,416
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$42
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$201,588
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Employer contributions (assets) at end of year	2017-12-31	$0
Employer contributions (assets) at beginning of year	2017-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$69,829
Contract administrator fees	2017-12-31	$17,121
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	GOETSCH & ASSOCIATES, CPAS PLLC
Accountancy firm EIN	2017-12-31	205913835
2016 : EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$291,305
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$20,081
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$14,660
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$226,454
Value of total assets at end of year	2016-12-31	$958,280
Value of total assets at beginning of year	2016-12-31	$687,056
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$5,421
Total interest from all sources	2016-12-31	$55
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$90,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$213,509
Participant contributions at end of year	2016-12-31	$1,570
Participant contributions at beginning of year	2016-12-31	$292
Participant contributions at end of year	2016-12-31	$15,407
Participant contributions at beginning of year	2016-12-31	$20,363
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$12,945
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$42
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$271,224
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$958,280
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$687,056
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$936,887
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$614,581
Interest on participant loans	2016-12-31	$55
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$4,416
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$3,449
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$3,449
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$64,796
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$0
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$48,329
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$14,660
Contract administrator fees	2016-12-31	$5,421
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	GOETSCH & ASSOCIATES, CPAS PLLC
Accountancy firm EIN	2016-12-31	205913835
2015 : EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$230,522
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$18,747
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$13,900
Expenses. Certain deemed distributions of participant loans	2015-12-31	$1,005
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$243,910
Value of total assets at end of year	2015-12-31	$687,056
Value of total assets at beginning of year	2015-12-31	$475,281
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$3,842
Total interest from all sources	2015-12-31	$20
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$10,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$193,711
Participant contributions at end of year	2015-12-31	$292
Participant contributions at beginning of year	2015-12-31	$0
Participant contributions at end of year	2015-12-31	$20,363
Participant contributions at beginning of year	2015-12-31	$6,760
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$1,870
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$42
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$211,775
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$687,056
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$475,281
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$614,581
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$432,001
Interest on participant loans	2015-12-31	$20
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$3,449
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$3,198
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$3,198
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-13,408
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$48,329
Employer contributions (assets) at end of year	2015-12-31	$48,329
Employer contributions (assets) at beginning of year	2015-12-31	$33,322
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$13,900
Contract administrator fees	2015-12-31	$3,842
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	GOETSCH & ASSOCIATES, CPAS PLLC
Accountancy firm EIN	2015-12-31	205913835
2014 : EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$165,348
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$90,406
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$88,797
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$144,437
Value of total assets at end of year	2014-12-31	$475,281
Value of total assets at beginning of year	2014-12-31	$400,339
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$1,609
Total interest from all sources	2014-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$10,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$111,115
Participant contributions at end of year	2014-12-31	$6,760
Participant contributions at beginning of year	2014-12-31	$2,724
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$74,942
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$475,281
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$400,339
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$432,001
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$376,013
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$3,198
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$1,333
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$1,333
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$20,911
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$33,322
Employer contributions (assets) at end of year	2014-12-31	$33,322
Employer contributions (assets) at beginning of year	2014-12-31	$20,269
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$88,797
Contract administrator fees	2014-12-31	$1,609
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	GOETSCH & ASSOCIATES, CPAS PLLC
Accountancy firm EIN	2014-12-31	205913835
2013 : EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$171,018
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$27,356
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$26,146
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$108,878
Value of total assets at end of year	2013-12-31	$400,339
Value of total assets at beginning of year	2013-12-31	$256,677
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$1,210
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$10,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$88,609
Participant contributions at end of year	2013-12-31	$2,724
Participant contributions at beginning of year	2013-12-31	$27,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$143,662
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$400,339
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$256,677
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$376,013
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$208,544
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$1,333
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$455
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$455
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$62,140
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$20,269
Employer contributions (assets) at end of year	2013-12-31	$20,269
Employer contributions (assets) at beginning of year	2013-12-31	$20,178
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$26,146
Contract administrator fees	2013-12-31	$1,210
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	GOETSCH & ASSOCIATES, CPAS
Accountancy firm EIN	2013-12-31	205913835

Form 5500 Responses for EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN

2021: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S 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	Yes
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S 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: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S 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
2017: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S 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 – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S 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 – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: EVERGREEN HOME HEALTHCARE, LLC 401(K) P/S 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	EVERGREEN HOME HEALTHCARE, LLC
Employer identification number (EIN):	260460739
NAIC Classification:	621112
NAIC Description:	Offices of Physicians, Mental Health Specialists