401k Plan data: C & S HOME CARE INC. 401(K) PLAN plan

C & S HOME CARE INC. 401(K) PLAN 401k Plan overview

Plan Name	C & S HOME CARE INC. 401(K) PLAN
Plan identification number	001

C & S HOME CARE INC. 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.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

C & S HOME CARE INC. has sponsored the creation of one or more 401k plans.

Company Name: C & S HOME CARE INC.

Employer identification number (EIN): 270225175

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan C & S HOME CARE INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 MARLETTE R. CARLSON MARLETTE R. CARLSON 2016-03-08
001 2013-01-01 MARLETTE R. CARLSON MARLETTE R. CARLSON 2016-03-08
001 2012-01-01 MARLETTE CARLSON MARLETTE CARLSON 2014-10-09
001 2011-01-01 MARLETTE R. CARLSON MARLETTE R. CARLSON 2012-10-01
001 2009-04-29 MARLETTE CARLSON

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	MARLETTE R. CARLSON	MARLETTE R. CARLSON	2016-03-08
001	2013-01-01	MARLETTE R. CARLSON	MARLETTE R. CARLSON	2016-03-08
001	2012-01-01	MARLETTE CARLSON	MARLETTE CARLSON	2014-10-09
001	2011-01-01	MARLETTE R. CARLSON	MARLETTE R. CARLSON	2012-10-01
001	2009-04-29	MARLETTE CARLSON

Plan Statistics for C & S HOME CARE INC. 401(K) PLAN

401k plan membership statisitcs for C & S HOME CARE INC. 401(K) PLAN

Measure Date Value
2014: C & S HOME CARE INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 8
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 0
Total of all active and inactive participants 2014-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 8
Number of participants with account balances 2014-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: C & S HOME CARE INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 5
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 0
Total of all active and inactive participants 2013-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 5
Number of participants with account balances 2013-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: C & S HOME CARE INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 3
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3
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 0
Total of all active and inactive participants 2012-01-01 3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 3
Number of participants with account balances 2012-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: C & S HOME CARE INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 4
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 0
Total of all active and inactive participants 2011-01-01 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 4
Number of participants with account balances 2011-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: C & S HOME CARE INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-04-29 0
Total number of active participants reported on line 7a of the Form 5500 2009-04-29 1
Number of retired or separated participants receiving benefits 2009-04-29 0
Number of other retired or separated participants entitled to future benefits 2009-04-29 0
Total of all active and inactive participants 2009-04-29 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-04-29 0
Total participants 2009-04-29 1
Number of participants with account balances 2009-04-29 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-04-29 0

Measure	Date	Value
2014: C & S HOME CARE INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	8
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	0
Total of all active and inactive participants	2014-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	8
Number of participants with account balances	2014-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: C & S HOME CARE INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	5
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	0
Total of all active and inactive participants	2013-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	5
Number of participants with account balances	2013-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: C & S HOME CARE INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3
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	0
Total of all active and inactive participants	2012-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	3
Number of participants with account balances	2012-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: C & S HOME CARE INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	4
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	0
Total of all active and inactive participants	2011-01-01	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	4
Number of participants with account balances	2011-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: C & S HOME CARE INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-04-29	0
Total number of active participants reported on line 7a of the Form 5500	2009-04-29	1
Number of retired or separated participants receiving benefits	2009-04-29	0
Number of other retired or separated participants entitled to future benefits	2009-04-29	0
Total of all active and inactive participants	2009-04-29	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-04-29	0
Total participants	2009-04-29	1
Number of participants with account balances	2009-04-29	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-04-29	0

Financial Data on C & S HOME CARE INC. 401(K) PLAN

Measure	Date	Value
2014 : C & S HOME CARE INC. 401(K) PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$39,943
Expenses. Total of all expenses incurred	2014-12-31	$0
Benefits paid (including direct rollovers)	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$103,979
Total plan assets at beginning of year	2014-12-31	$64,036
Total contributions received or receivable from participants	2014-12-31	$0
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$39,943
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$39,943
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$103,979
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$64,036
Assets. Value of employer securities	2014-12-31	$103,979
Total contributions received or receivable from employer(s)	2014-12-31	$0
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$0
2013 : C & S HOME CARE INC. 401(K) PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$23,368
Expenses. Total of all expenses incurred	2013-12-31	$0
Benefits paid (including direct rollovers)	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$42,505
Total plan assets at beginning of year	2013-12-31	$19,137
Total contributions received or receivable from participants	2013-12-31	$0
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$23,368
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$23,368
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$42,505
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$19,137
Assets. Value of employer securities	2013-12-31	$42,505
Total contributions received or receivable from employer(s)	2013-12-31	$0
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$0
2012 : C & S HOME CARE INC. 401(K) PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$-9,702
Expenses. Total of all expenses incurred	2012-12-31	$0
Benefits paid (including direct rollovers)	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$19,137
Total plan assets at beginning of year	2012-12-31	$28,839
Total contributions received or receivable from participants	2012-12-31	$0
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$-9,702
Noncash contributions received	2012-12-31	$0
Net income (gross income less expenses)	2012-12-31	$-9,702
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$19,137
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$28,839
Assets. Value of employer securities	2012-12-31	$19,137
Total contributions received or receivable from employer(s)	2012-12-31	$0
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$0
2011 : C & S HOME CARE INC. 401(K) PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$3,748
Expenses. Total of all expenses incurred	2011-12-31	$0
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$28,839
Total plan assets at beginning of year	2011-12-31	$25,091
Total contributions received or receivable from participants	2011-12-31	$0
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$3,748
Noncash contributions received	2011-12-31	$0
Net income (gross income less expenses)	2011-12-31	$3,748
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$28,839
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$25,091
Assets. Value of employer securities	2011-12-31	$28,839
Total contributions received or receivable from employer(s)	2011-12-31	$0
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$0
2010 : C & S HOME CARE INC. 401(K) PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$-25,315
Expenses. Total of all expenses incurred	2010-12-31	$0
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$25,091
Total plan assets at beginning of year	2010-12-31	$50,406
Total contributions received or receivable from participants	2010-12-31	$0
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$-25,315
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$-25,315
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$25,091
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$50,406
Assets. Value of employer securities	2010-12-31	$25,091
Total contributions received or receivable from employer(s)	2010-12-31	$0
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0

Form 5500 Responses for C & S HOME CARE INC. 401(K) PLAN

2014: C & S HOME CARE INC. 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 – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: C & S HOME CARE INC. 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
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
2012: C & S HOME CARE INC. 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: C & S HOME CARE INC. 401(K) 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: C & S HOME CARE INC. 401(K) PLAN 2009 form 5500 responses
2009-04-29	Type of plan entity	Single employer plan
2009-04-29	First time form 5500 has been submitted	Yes
2009-04-29	Submission has been amended	No
2009-04-29	This submission is the final filing	No
2009-04-29	This return/report is a short plan year return/report (less than 12 months)	Yes
2009-04-29	Plan is a collectively bargained plan	No
2009-04-29	Plan funding arrangement – Trust	Yes
2009-04-29	Plan benefit arrangement - Trust	Yes

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Company Name:	C & S HOME CARE INC.
Employer identification number (EIN):	270225175
NAIC Classification:	624100
NAIC Description:	Individual and Family Services