401k Plan data: GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN plan

GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN 401k Plan overview

Plan Name	GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN
Plan identification number	001

GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

GUARDIAN ANGEL SENIOR CARE, INC. has sponsored the creation of one or more 401k plans.

Company Name: GUARDIAN ANGEL SENIOR CARE, INC.

Employer identification number (EIN): 462184770

NAIC Classification: 812990
NAIC Description: All Other Personal Services

Additional information about GUARDIAN ANGEL SENIOR CARE, INC.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 2013-02-22

Company Identification Number: 603279097

Legal Registered Office Address: 8512 N WALL ST

SPOKANE
United States of America (USA)
992086164

More information about GUARDIAN ANGEL SENIOR CARE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-10-01 VAUGHN S. YOUNG
001 2014-10-01 VAUGHN S. YOUNG
001 2013-10-01 VAUGHN S. YOUNG
001 2013-03-05 VAUGHN S. YOUNG

Plan id#	Filing Submission Date	Name of Administrator
001	2015-10-01	VAUGHN S. YOUNG
001	2014-10-01	VAUGHN S. YOUNG
001	2013-10-01	VAUGHN S. YOUNG
001	2013-03-05	VAUGHN S. YOUNG

Plan Statistics for GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN

401k plan membership statisitcs for GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN

Measure Date Value
2015: GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 10
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 0
Number of retired or separated participants receiving benefits 2015-10-01 0
Number of other retired or separated participants entitled to future benefits 2015-10-01 0
Total of all active and inactive participants 2015-10-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-10-01 0
Total participants 2015-10-01 0
Number of participants with account balances 2015-10-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-10-01 0
2014: GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 14
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 10
Number of retired or separated participants receiving benefits 2014-10-01 0
Number of other retired or separated participants entitled to future benefits 2014-10-01 0
Total of all active and inactive participants 2014-10-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-10-01 0
Total participants 2014-10-01 10
Number of participants with account balances 2014-10-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-10-01 0
2013: GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 8
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 7
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 0
Total of all active and inactive participants 2013-10-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 0
Total participants 2013-10-01 7
Number of participants with account balances 2013-10-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-10-01 0
Total participants, beginning-of-year 2013-03-05 11
Total number of active participants reported on line 7a of the Form 5500 2013-03-05 8
Number of retired or separated participants receiving benefits 2013-03-05 0
Number of other retired or separated participants entitled to future benefits 2013-03-05 0
Total of all active and inactive participants 2013-03-05 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-03-05 0
Total participants 2013-03-05 8
Number of participants with account balances 2013-03-05 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-03-05 0

Measure	Date	Value
2015: GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	10
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	0
Number of retired or separated participants receiving benefits	2015-10-01	0
Number of other retired or separated participants entitled to future benefits	2015-10-01	0
Total of all active and inactive participants	2015-10-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-10-01	0
Total participants	2015-10-01	0
Number of participants with account balances	2015-10-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-10-01	0
2014: GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	14
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	10
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	0
Total of all active and inactive participants	2014-10-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-10-01	0
Total participants	2014-10-01	10
Number of participants with account balances	2014-10-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-10-01	0
2013: GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	8
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	7
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	0
Total of all active and inactive participants	2013-10-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	0
Total participants	2013-10-01	7
Number of participants with account balances	2013-10-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-10-01	0
Total participants, beginning-of-year	2013-03-05	11
Total number of active participants reported on line 7a of the Form 5500	2013-03-05	8
Number of retired or separated participants receiving benefits	2013-03-05	0
Number of other retired or separated participants entitled to future benefits	2013-03-05	0
Total of all active and inactive participants	2013-03-05	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-03-05	0
Total participants	2013-03-05	8
Number of participants with account balances	2013-03-05	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-03-05	0

Financial Data on GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN

Measure	Date	Value
2016 : GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN 2016 401k financial data
Total income from all sources	2016-09-30	$0
Expenses. Total of all expenses incurred	2016-09-30	$0
Benefits paid (including direct rollovers)	2016-09-30	$0
Total plan assets at end of year	2016-09-30	$0
Total plan assets at beginning of year	2016-09-30	$0
Value of fidelity bond covering the plan	2016-09-30	$10,000
Total contributions received or receivable from participants	2016-09-30	$0
Contributions received from other sources (not participants or employers)	2016-09-30	$0
Other income received	2016-09-30	$0
Net income (gross income less expenses)	2016-09-30	$0
Net plan assets at end of year (total assets less liabilities)	2016-09-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2016-09-30	$0
Total contributions received or receivable from employer(s)	2016-09-30	$0
Value of certain deemed distributions of participant loans	2016-09-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-09-30	$0
2015 : GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN 2015 401k financial data
Total income from all sources	2015-09-30	$-50,000
Expenses. Total of all expenses incurred	2015-09-30	$0
Benefits paid (including direct rollovers)	2015-09-30	$0
Total plan assets at end of year	2015-09-30	$0
Total plan assets at beginning of year	2015-09-30	$50,000
Value of fidelity bond covering the plan	2015-09-30	$10,000
Total contributions received or receivable from participants	2015-09-30	$0
Contributions received from other sources (not participants or employers)	2015-09-30	$0
Other income received	2015-09-30	$-50,000
Net income (gross income less expenses)	2015-09-30	$-50,000
Net plan assets at end of year (total assets less liabilities)	2015-09-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-09-30	$50,000
Assets. Value of employer securities	2015-09-30	$0
Total contributions received or receivable from employer(s)	2015-09-30	$0
Value of certain deemed distributions of participant loans	2015-09-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-09-30	$0
2014 : GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN 2014 401k financial data
Total income from all sources	2014-09-30	$-27,768
Expenses. Total of all expenses incurred	2014-09-30	$0
Benefits paid (including direct rollovers)	2014-09-30	$0
Total plan assets at end of year	2014-09-30	$50,000
Total plan assets at beginning of year	2014-09-30	$77,768
Total contributions received or receivable from participants	2014-09-30	$0
Contributions received from other sources (not participants or employers)	2014-09-30	$0
Other income received	2014-09-30	$-27,768
Net income (gross income less expenses)	2014-09-30	$-27,768
Net plan assets at end of year (total assets less liabilities)	2014-09-30	$50,000
Net plan assets at beginning of year (total assets less liabilities)	2014-09-30	$77,768
Assets. Value of employer securities	2014-09-30	$50,000
Total contributions received or receivable from employer(s)	2014-09-30	$0
Value of certain deemed distributions of participant loans	2014-09-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-09-30	$0
2013 : GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN 2013 401k financial data
Total income from all sources	2013-09-30	$77,793
Expenses. Total of all expenses incurred	2013-09-30	$25
Benefits paid (including direct rollovers)	2013-09-30	$0
Total plan assets at end of year	2013-09-30	$77,768
Total plan assets at beginning of year	2013-09-30	$0
Total contributions received or receivable from participants	2013-09-30	$0
Contributions received from other sources (not participants or employers)	2013-09-30	$196,729
Other income received	2013-09-30	$-118,936
Net income (gross income less expenses)	2013-09-30	$77,768
Net plan assets at end of year (total assets less liabilities)	2013-09-30	$77,768
Net plan assets at beginning of year (total assets less liabilities)	2013-09-30	$0
Assets. Value of employer securities	2013-09-30	$77,768
Total contributions received or receivable from employer(s)	2013-09-30	$0
Value of certain deemed distributions of participant loans	2013-09-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-09-30	$25

Form 5500 Responses for GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN

2015: GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	This submission is the final filing	Yes
2015-10-01	Plan funding arrangement – Trust	Yes
2015-10-01	Plan benefit arrangement - Trust	Yes
2014: GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Plan funding arrangement – Trust	Yes
2014-10-01	Plan benefit arrangement - Trust	Yes
2013: GUARDIAN ANGEL SENIOR CARE, INC. RETIREMENT PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Plan funding arrangement – Trust	Yes
2013-10-01	Plan benefit arrangement - Trust	Yes
2013-03-05	Type of plan entity	Single employer plan
2013-03-05	First time form 5500 has been submitted	Yes
2013-03-05	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-03-05	Plan funding arrangement – Trust	Yes
2013-03-05	Plan benefit arrangement - Trust	Yes

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Company Name:	GUARDIAN ANGEL SENIOR CARE, INC.
Employer identification number (EIN):	462184770
NAIC Classification:	812990
NAIC Description:	All Other Personal Services

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	2013-02-22
Company Identification Number:	603279097
Legal Registered Office Address:	8512 N WALL ST SPOKANE United States of America (USA) 992086164