401k Plan data: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST plan

PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 401k Plan overview

Plan Name	PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST
Plan identification number	001

PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Participant-directed brokerage accounts provided as an investment option under the plan.
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.

401k Sponsoring company profile

PREMIER HOMECARE OF SOUTHERN A has sponsored the creation of one or more 401k plans.

Company Name: PREMIER HOMECARE OF SOUTHERN A

Employer identification number (EIN): 270969351

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 MARGARET M LANNON
001 2016-01-01 MARGARET M LANNON
001 2015-01-01 MARGARET LANNON MARGARET LANNON 2016-10-06
001 2014-01-01 MARGARET LANNON MARGARET LANNON 2015-10-08
001 2013-01-01 MARGARET LANNON MARGARET LANNON 2014-10-01
001 2012-01-01 MARGARET M. LANNON MARGARET M. LANNON 2013-10-07
001 2011-01-01 MARGARET LANNON MARGARET LANNON 2012-10-02
001 2009-09-22 MARGARET M. LANNON MARGARET M. LANNON 2010-05-24

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	MARGARET M LANNON
001	2016-01-01	MARGARET M LANNON
001	2015-01-01	MARGARET LANNON	MARGARET LANNON	2016-10-06
001	2014-01-01	MARGARET LANNON	MARGARET LANNON	2015-10-08
001	2013-01-01	MARGARET LANNON	MARGARET LANNON	2014-10-01
001	2012-01-01	MARGARET M. LANNON	MARGARET M. LANNON	2013-10-07
001	2011-01-01	MARGARET LANNON	MARGARET LANNON	2012-10-02
001	2009-09-22	MARGARET M. LANNON	MARGARET M. LANNON	2010-05-24

Plan Statistics for PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST

401k plan membership statisitcs for PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST

Measure Date Value
2021: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2021 401k membership
Total participants, beginning-of-year 2021-01-01 50
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 47
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 4
Total of all active and inactive participants 2021-01-01 51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 51
Number of participants with account balances 2021-01-01 43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2020 401k membership
Total participants, beginning-of-year 2020-01-01 47
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 29
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 3
Total of all active and inactive participants 2020-01-01 32
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 32
Number of participants with account balances 2020-01-01 20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2019 401k membership
Total participants, beginning-of-year 2019-01-01 45
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 35
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 5
Total of all active and inactive participants 2019-01-01 40
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 40
Number of participants with account balances 2019-01-01 26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2018 401k membership
Total participants, beginning-of-year 2018-01-01 56
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 25
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 6
Total of all active and inactive participants 2018-01-01 31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 31
Number of participants with account balances 2018-01-01 26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 2
2017: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 68
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 24
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 21
Total of all active and inactive participants 2017-01-01 45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 45
Number of participants with account balances 2017-01-01 37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 13
2016: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 21
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 64
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 4
Total of all active and inactive participants 2016-01-01 68
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 68
Number of participants with account balances 2016-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 21
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 4
Total of all active and inactive participants 2015-01-01 25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 25
Number of participants with account balances 2015-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 16
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 2
Total of all active and inactive participants 2014-01-01 18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 18
Number of participants with account balances 2014-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 10
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 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 10
Number of participants with account balances 2013-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 4
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 2
Total of all active and inactive participants 2012-01-01 5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 5
Number of participants with account balances 2012-01-01 3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 1
Number of participants with account balances 2011-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year 2009-09-22 1
Total number of active participants reported on line 7a of the Form 5500 2009-09-22 1
Number of retired or separated participants receiving benefits 2009-09-22 0
Number of other retired or separated participants entitled to future benefits 2009-09-22 0
Total of all active and inactive participants 2009-09-22 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-09-22 0
Total participants 2009-09-22 1
Number of participants with account balances 2009-09-22 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-09-22 0

Measure	Date	Value
2021: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2021 401k membership
Total participants, beginning-of-year	2021-01-01	50
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	47
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	4
Total of all active and inactive participants	2021-01-01	51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	51
Number of participants with account balances	2021-01-01	43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2020 401k membership
Total participants, beginning-of-year	2020-01-01	47
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	29
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	3
Total of all active and inactive participants	2020-01-01	32
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	32
Number of participants with account balances	2020-01-01	20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2019 401k membership
Total participants, beginning-of-year	2019-01-01	45
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	35
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	5
Total of all active and inactive participants	2019-01-01	40
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	40
Number of participants with account balances	2019-01-01	26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2018 401k membership
Total participants, beginning-of-year	2018-01-01	56
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	25
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	6
Total of all active and inactive participants	2018-01-01	31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	31
Number of participants with account balances	2018-01-01	26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	2
2017: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	68
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	24
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	21
Total of all active and inactive participants	2017-01-01	45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	45
Number of participants with account balances	2017-01-01	37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	13
2016: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	21
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	64
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	4
Total of all active and inactive participants	2016-01-01	68
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	68
Number of participants with account balances	2016-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	21
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	4
Total of all active and inactive participants	2015-01-01	25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	25
Number of participants with account balances	2015-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	16
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	2
Total of all active and inactive participants	2014-01-01	18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	18
Number of participants with account balances	2014-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	10
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	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	10
Number of participants with account balances	2013-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	4
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	2
Total of all active and inactive participants	2012-01-01	5
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	5
Number of participants with account balances	2012-01-01	3
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	1
Number of participants with account balances	2011-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year	2009-09-22	1
Total number of active participants reported on line 7a of the Form 5500	2009-09-22	1
Number of retired or separated participants receiving benefits	2009-09-22	0
Number of other retired or separated participants entitled to future benefits	2009-09-22	0
Total of all active and inactive participants	2009-09-22	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-09-22	0
Total participants	2009-09-22	1
Number of participants with account balances	2009-09-22	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-09-22	0

Financial Data on PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST

Measure	Date	Value
2021 : PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2021 401k financial data
Transfers to/from the plan	2021-12-31	$0
Total plan liabilities at end of year	2021-12-31	$0
Total plan liabilities at beginning of year	2021-12-31	$0
Total income from all sources	2021-12-31	$40,211
Expenses. Total of all expenses incurred	2021-12-31	$27,592
Benefits paid (including direct rollovers)	2021-12-31	$26,265
Total plan assets at end of year	2021-12-31	$1,271,241
Total plan assets at beginning of year	2021-12-31	$1,258,622
Value of fidelity bond covering the plan	2021-12-31	$75,000
Total contributions received or receivable from participants	2021-12-31	$35,594
Expenses. Other expenses not covered elsewhere	2021-12-31	$0
Contributions received from other sources (not participants or employers)	2021-12-31	$0
Other income received	2021-12-31	$-7,672
Net income (gross income less expenses)	2021-12-31	$12,619
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$1,271,241
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$1,258,622
Assets. Value of participant loans	2021-12-31	$1,227
Assets. Value of employer securities	2021-12-31	$700,000
Total contributions received or receivable from employer(s)	2021-12-31	$12,289
Value of certain deemed distributions of participant loans	2021-12-31	$0
Value of corrective distributions	2021-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$1,327
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2021-12-31	$0
Minimum employer required contribution for this plan year	2021-12-31	$0
Amount contributed by the employer to the plan for this plan year	2021-12-31	$0
2020 : PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2020 401k financial data
Transfers to/from the plan	2020-12-31	$0
Total plan liabilities at end of year	2020-12-31	$0
Total plan liabilities at beginning of year	2020-12-31	$0
Total income from all sources	2020-12-31	$238,306
Expenses. Total of all expenses incurred	2020-12-31	$11,630
Benefits paid (including direct rollovers)	2020-12-31	$7,880
Total plan assets at end of year	2020-12-31	$1,258,622
Total plan assets at beginning of year	2020-12-31	$1,031,946
Value of fidelity bond covering the plan	2020-12-31	$75,000
Total contributions received or receivable from participants	2020-12-31	$30,719
Expenses. Other expenses not covered elsewhere	2020-12-31	$0
Contributions received from other sources (not participants or employers)	2020-12-31	$0
Other income received	2020-12-31	$192,706
Net income (gross income less expenses)	2020-12-31	$226,676
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$1,258,622
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$1,031,946
Assets. Value of employer securities	2020-12-31	$787,000
Total contributions received or receivable from employer(s)	2020-12-31	$14,881
Value of certain deemed distributions of participant loans	2020-12-31	$0
Value of corrective distributions	2020-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$3,750
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2020-12-31	$0
Minimum employer required contribution for this plan year	2020-12-31	$0
Amount contributed by the employer to the plan for this plan year	2020-12-31	$0
2019 : PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2019 401k financial data
Transfers to/from the plan	2019-12-31	$0
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$124,257
Expenses. Total of all expenses incurred	2019-12-31	$2,406
Benefits paid (including direct rollovers)	2019-12-31	$0
Total plan assets at end of year	2019-12-31	$1,031,946
Total plan assets at beginning of year	2019-12-31	$910,095
Value of fidelity bond covering the plan	2019-12-31	$75,000
Total contributions received or receivable from participants	2019-12-31	$31,706
Expenses. Other expenses not covered elsewhere	2019-12-31	$0
Contributions received from other sources (not participants or employers)	2019-12-31	$0
Other income received	2019-12-31	$76,998
Net income (gross income less expenses)	2019-12-31	$121,851
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$1,031,946
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$910,095
Assets. Value of participant loans	2019-12-31	$21,584
Assets. Value of employer securities	2019-12-31	$652,000
Total contributions received or receivable from employer(s)	2019-12-31	$15,553
Value of certain deemed distributions of participant loans	2019-12-31	$0
Value of corrective distributions	2019-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$2,406
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2019-12-31	$0
Minimum employer required contribution for this plan year	2019-12-31	$0
Amount contributed by the employer to the plan for this plan year	2019-12-31	$0
2018 : PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2018 401k financial data
Transfers to/from the plan	2018-12-31	$0
Total plan liabilities at end of year	2018-12-31	$0
Total plan liabilities at beginning of year	2018-12-31	$0
Total income from all sources	2018-12-31	$36,537
Expenses. Total of all expenses incurred	2018-12-31	$24,991
Benefits paid (including direct rollovers)	2018-12-31	$22,492
Total plan assets at end of year	2018-12-31	$910,095
Total plan assets at beginning of year	2018-12-31	$898,549
Value of fidelity bond covering the plan	2018-12-31	$75,000
Total contributions received or receivable from participants	2018-12-31	$31,384
Expenses. Other expenses not covered elsewhere	2018-12-31	$0
Contributions received from other sources (not participants or employers)	2018-12-31	$0
Other income received	2018-12-31	$-9,349
Net income (gross income less expenses)	2018-12-31	$11,546
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$910,095
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$898,549
Assets. Value of participant loans	2018-12-31	$45,448
Assets. Value of employer securities	2018-12-31	$629,000
Total contributions received or receivable from employer(s)	2018-12-31	$14,502
Value of certain deemed distributions of participant loans	2018-12-31	$0
Value of corrective distributions	2018-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$2,499
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2018-12-31	$0
Minimum employer required contribution for this plan year	2018-12-31	$0
Amount contributed by the employer to the plan for this plan year	2018-12-31	$0
2017 : PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2017 401k financial data
Transfers to/from the plan	2017-12-31	$0
Total plan liabilities at end of year	2017-12-31	$0
Total plan liabilities at beginning of year	2017-12-31	$0
Total income from all sources	2017-12-31	$55,628
Expenses. Total of all expenses incurred	2017-12-31	$9,298
Benefits paid (including direct rollovers)	2017-12-31	$6,996
Total plan assets at end of year	2017-12-31	$898,549
Total plan assets at beginning of year	2017-12-31	$852,219
Value of fidelity bond covering the plan	2017-12-31	$75,000
Total contributions received or receivable from participants	2017-12-31	$29,874
Expenses. Other expenses not covered elsewhere	2017-12-31	$0
Contributions received from other sources (not participants or employers)	2017-12-31	$829
Other income received	2017-12-31	$11,427
Net income (gross income less expenses)	2017-12-31	$46,330
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$898,549
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$852,219
Assets. Value of employer securities	2017-12-31	$629,000
Total contributions received or receivable from employer(s)	2017-12-31	$13,498
Value of certain deemed distributions of participant loans	2017-12-31	$0
Value of corrective distributions	2017-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$2,302
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2017-12-31	$0
Minimum employer required contribution for this plan year	2017-12-31	$0
Amount contributed by the employer to the plan for this plan year	2017-12-31	$0
2016 : PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2016 401k financial data
Transfers to/from the plan	2016-12-31	$0
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$58,088
Expenses. Total of all expenses incurred	2016-12-31	$18,983
Benefits paid (including direct rollovers)	2016-12-31	$17,815
Total plan assets at end of year	2016-12-31	$852,219
Total plan assets at beginning of year	2016-12-31	$813,114
Value of fidelity bond covering the plan	2016-12-31	$75,000
Total contributions received or receivable from participants	2016-12-31	$18,763
Expenses. Other expenses not covered elsewhere	2016-12-31	$418
Contributions received from other sources (not participants or employers)	2016-12-31	$1,286
Other income received	2016-12-31	$12,407
Net income (gross income less expenses)	2016-12-31	$39,105
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$852,219
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$813,114
Assets. Value of employer securities	2016-12-31	$629,000
Total contributions received or receivable from employer(s)	2016-12-31	$25,632
Value of certain deemed distributions of participant loans	2016-12-31	$0
Value of corrective distributions	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$750
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2016-12-31	$0
Minimum employer required contribution for this plan year	2016-12-31	$0
Amount contributed by the employer to the plan for this plan year	2016-12-31	$0
2015 : PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2015 401k financial data
Total plan liabilities at end of year	2015-12-31	$5,846
Total plan liabilities at beginning of year	2015-12-31	$3,680
Total income from all sources	2015-12-31	$130,276
Expenses. Total of all expenses incurred	2015-12-31	$5,866
Benefits paid (including direct rollovers)	2015-12-31	$1,402
Total plan assets at end of year	2015-12-31	$818,960
Total plan assets at beginning of year	2015-12-31	$692,384
Value of fidelity bond covering the plan	2015-12-31	$75,000
Total contributions received or receivable from participants	2015-12-31	$33,602
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$80,587
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$124,410
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$813,114
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$688,704
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2015-12-31	$4,458
Assets. Value of employer securities	2015-12-31	$629,000
Total contributions received or receivable from employer(s)	2015-12-31	$16,087
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$3,564
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$900
2014 : PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$3,680
Total income from all sources	2014-12-31	$101,870
Expenses. Total of all expenses incurred	2014-12-31	$1,335
Benefits paid (including direct rollovers)	2014-12-31	$685
Total plan assets at end of year	2014-12-31	$692,384
Total plan assets at beginning of year	2014-12-31	$588,169
Value of fidelity bond covering the plan	2014-12-31	$75,000
Total contributions received or receivable from participants	2014-12-31	$34,142
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	$57,624
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$100,535
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$688,704
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$588,169
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2014-12-31	$4,458
Assets. Value of employer securities	2014-12-31	$545,000
Total contributions received or receivable from employer(s)	2014-12-31	$10,104
Value of certain deemed distributions of participant loans	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$650
2013 : PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2013 401k financial data
Total income from all sources	2013-12-31	$240,469
Expenses. Total of all expenses incurred	2013-12-31	$983
Benefits paid (including direct rollovers)	2013-12-31	$782
Total plan assets at end of year	2013-12-31	$588,169
Total plan assets at beginning of year	2013-12-31	$348,683
Value of fidelity bond covering the plan	2013-12-31	$50,000
Total contributions received or receivable from participants	2013-12-31	$24,556
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	$211,777
Net income (gross income less expenses)	2013-12-31	$239,486
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$588,169
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$348,683
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2013-12-31	$4,458
Assets. Value of employer securities	2013-12-31	$492,000
Total contributions received or receivable from employer(s)	2013-12-31	$4,136
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$201
2012 : PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2012 401k financial data
Total income from all sources	2012-12-31	$168,794
Expenses. Total of all expenses incurred	2012-12-31	$150
Total plan assets at end of year	2012-12-31	$348,683
Total plan assets at beginning of year	2012-12-31	$180,039
Value of fidelity bond covering the plan	2012-12-31	$50,000
Total contributions received or receivable from participants	2012-12-31	$22,315
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	$144,397
Net income (gross income less expenses)	2012-12-31	$168,644
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$348,683
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$180,039
Assets. Value of employer securities	2012-12-31	$290,258
Total contributions received or receivable from employer(s)	2012-12-31	$2,082
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$150
2011 : PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2011 401k financial data
Total income from all sources	2011-12-31	$74,344
Expenses. Total of all expenses incurred	2011-12-31	$150
Total plan assets at end of year	2011-12-31	$180,039
Total plan assets at beginning of year	2011-12-31	$105,845
Value of fidelity bond covering the plan	2011-12-31	$25,000
Total contributions received or receivable from participants	2011-12-31	$16,500
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	$56,821
Net income (gross income less expenses)	2011-12-31	$74,194
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$180,039
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$105,845
Assets. Value of employer securities	2011-12-31	$150,000
Total contributions received or receivable from employer(s)	2011-12-31	$1,023
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$150
2010 : PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2010 401k financial data
Total income from all sources	2010-12-31	$-28,353
Expenses. Total of all expenses incurred	2010-12-31	$150
Total plan assets at end of year	2010-12-31	$105,845
Total plan assets at beginning of year	2010-12-31	$134,348
Value of fidelity bond covering the plan	2010-12-31	$50,000
Total contributions received or receivable from participants	2010-12-31	$11,220
Expenses. Other expenses not covered elsewhere	2010-12-31	$150
Other income received	2010-12-31	$-40,881
Net income (gross income less expenses)	2010-12-31	$-28,503
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$105,845
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$134,348
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2010-12-31	$737
Assets. Value of employer securities	2010-12-31	$92,348
Total contributions received or receivable from employer(s)	2010-12-31	$1,308

Form 5500 Responses for PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST

2021: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 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	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
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: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 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: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 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
2018: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 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: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 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: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 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	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 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: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 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
2012: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 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: PREMIER HOMECARE OF SOUTHERN A 401(K) PROFIT SHARING PLAN & TRUST 2009 form 5500 responses
2009-09-22	Type of plan entity	Single employer plan
2009-09-22	First time form 5500 has been submitted	Yes
2009-09-22	Submission has been amended	No
2009-09-22	This submission is the final filing	No
2009-09-22	This return/report is a short plan year return/report (less than 12 months)	Yes
2009-09-22	Plan is a collectively bargained plan	No
2009-09-22	Plan funding arrangement – Trust	Yes
2009-09-22	Plan benefit arrangement - Trust	Yes

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Company Name:	PREMIER HOMECARE OF SOUTHERN A
Employer identification number (EIN):	270969351
NAIC Classification:	621610
NAIC Description:	Home Health Care Services