AT HOME HEALTH EQUIPMENT, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN 401k Plan overview

AT HOME HEALTH EQUIPMENT, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN Benefits

401k Sponsoring company profile

Company Name:	AT HOME HEALTH EQUIPMENT
Employer identification number (EIN):	351930219
NAIC Classification:	621610
NAIC Description:	Home Health Care Services

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2011-02-01	DAVID H. SCOTT
501	2010-02-01	DAVID H. SCOTT
501	2009-02-01	DAVID H. SCOTT

Plan Statistics for AT HOME HEALTH EQUIPMENT, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure	Date	Value
2011: AT HOME HEALTH EQUIPMENT, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-02-01	0
Total number of active participants reported on line 7a of the Form 5500	2011-02-01	0
Number of retired or separated participants receiving benefits	2011-02-01	0
Number of other retired or separated participants entitled to future benefits	2011-02-01	0
Total of all active and inactive participants	2011-02-01	0
2010: AT HOME HEALTH EQUIPMENT, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-02-01	35
Total number of active participants reported on line 7a of the Form 5500	2010-02-01	37
Number of retired or separated participants receiving benefits	2010-02-01	1
Number of other retired or separated participants entitled to future benefits	2010-02-01	0
Total of all active and inactive participants	2010-02-01	38
2009: AT HOME HEALTH EQUIPMENT, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-02-01	32
Total number of active participants reported on line 7a of the Form 5500	2009-02-01	36
Number of retired or separated participants receiving benefits	2009-02-01	0
Number of other retired or separated participants entitled to future benefits	2009-02-01	0
Total of all active and inactive participants	2009-02-01	36

Financial Data on AT HOME HEALTH EQUIPMENT, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Form 5500 Responses for AT HOME HEALTH EQUIPMENT, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN

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• AT HOME ANIMAL CLINIC 401K PLAN [EIN = 262169289]
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• AT HOME SENIOR SOLUTIONS INC 401 K PROFIT SHARING PLAN TRUST [EIN = 271904613]
• AT HOME VETERINARY 401(K) PLAN [EIN = 474398614]
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• AT HOME NETWORK INC., 401K PLAN [EIN = 383353308]
• AT HOME APARTMENTS, LLC 401(K) PLAN [EIN = 411990411]
• AT HOME VETERINARY 401(K) PLAN [EIN = 203243142]
• AT HOME CARE, INC. PROFIT SHARING PLAN [EIN = 521106241]
• AT HOME INC 401K PROFIT SHARING PLAN AND TRUST [EIN = 841695279]
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• AT HOME VETERINARY CLINIC 401K PLAN [EIN = 475622379]
• AT HOME REALTY 401(K) PROFIT SHARING PLAN AND TRUST [EIN = 261170253]
• AT HOME SOLUTIONS LLC [EIN = 861036075]
• AT HOME CARE, INC. 401(K) TIERED PROFIT SHARING PLAN [EIN = 541735561]
• AT HOME HEALTHCARE DENTAL AND VISION PLAN [EIN = 752902137]
• AT HOME BLINDS DECOR INC 401 K PROFIT SHARING PLAN TRUST [EIN = 753031608]
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• AT HOME HEALTH SERVICES LLC 401(K) PROFIT SHARING PLAN & TRUST [EIN = 822190235]
• AT HOME APARTMENTS OF KC, LLC 401K PLAN [EIN = 453646249]
• AT HOME REAL ESTATE SERVICES MCF BENEFIT PLAN [EIN = 208955470]
• AT HOME CARE LLC 401(K) PROFIT SHARING PLAN & TRUST [EIN = 471709146]
• AT HOME NURSING CARE 401(K) PLAN [EIN = 900856761]
• AT HOME TITLE 401(K) PLAN [EIN = 844334304]
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• AT HOME QUALITY CARE RETIREMENT PLAN [EIN = 863446785]
• AT HOME CARE INC 401(K) PROFIT SHARING PLAN & TRUST [EIN = 460757981]

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