401k Plan data: DEVELOPMENTAL SERVICES OF NEBRASKA, INC plan

DEVELOPMENTAL SERVICES OF NEBRASKA, INC 401k Plan overview

Plan Name	DEVELOPMENTAL SERVICES OF NEBRASKA, INC
Plan identification number	501

DEVELOPMENTAL SERVICES OF NEBRASKA, INC Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

DEVELOPMENTAL SERVICES OF NEBRASKA, INC. has sponsored the creation of one or more 401k plans.

Company Name: DEVELOPMENTAL SERVICES OF NEBRASKA, INC.

Employer identification number (EIN): 470772447

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DEVELOPMENTAL SERVICES OF NEBRASKA, INC

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-09-01
501 2012-09-01 JUSTIN GULBRANDSON
501 2011-09-01 JUSTIN GULBRANDSON

Plan Statistics for DEVELOPMENTAL SERVICES OF NEBRASKA, INC

401k plan membership statisitcs for DEVELOPMENTAL SERVICES OF NEBRASKA, INC

Measure Date Value
2013: DEVELOPMENTAL SERVICES OF NEBRASKA, INC 2013 401k membership
Total participants, beginning-of-year 2013-09-01 105
Total number of active participants reported on line 7a of the Form 5500 2013-09-01 121
Total of all active and inactive participants 2013-09-01 121
2012: DEVELOPMENTAL SERVICES OF NEBRASKA, INC 2012 401k membership
Total participants, beginning-of-year 2012-09-01 108
Total number of active participants reported on line 7a of the Form 5500 2012-09-01 105
Total of all active and inactive participants 2012-09-01 105
2011: DEVELOPMENTAL SERVICES OF NEBRASKA, INC 2011 401k membership
Total participants, beginning-of-year 2011-09-01 131
Total number of active participants reported on line 7a of the Form 5500 2011-09-01 108
Total of all active and inactive participants 2011-09-01 108

Measure	Date	Value
2013: DEVELOPMENTAL SERVICES OF NEBRASKA, INC 2013 401k membership
Total participants, beginning-of-year	2013-09-01	105
Total number of active participants reported on line 7a of the Form 5500	2013-09-01	121
Total of all active and inactive participants	2013-09-01	121
2012: DEVELOPMENTAL SERVICES OF NEBRASKA, INC 2012 401k membership
Total participants, beginning-of-year	2012-09-01	108
Total number of active participants reported on line 7a of the Form 5500	2012-09-01	105
Total of all active and inactive participants	2012-09-01	105
2011: DEVELOPMENTAL SERVICES OF NEBRASKA, INC 2011 401k membership
Total participants, beginning-of-year	2011-09-01	131
Total number of active participants reported on line 7a of the Form 5500	2011-09-01	108
Total of all active and inactive participants	2011-09-01	108

Financial Data on DEVELOPMENTAL SERVICES OF NEBRASKA, INC

Measure	Date	Value
2014 : DEVELOPMENTAL SERVICES OF NEBRASKA, INC 2014 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-08-31	No
Was this plan covered by a fidelity bond	2014-08-31	No
If this is an individual account plan, was there a blackout period	2014-08-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-08-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-08-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-08-31	No
Were any leases to which the plan was party in default or uncollectible	2014-08-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-08-31	No
Was there a failure to transmit to the plan any participant contributions	2014-08-31	No
Has the plan failed to provide any benefit when due under the plan	2014-08-31	No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-08-31	No
Did the plan have assets held for investment	2014-08-31	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	2014-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-08-31	No
2013 : DEVELOPMENTAL SERVICES OF NEBRASKA, INC 2013 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-08-31	No
Was this plan covered by a fidelity bond	2013-08-31	No
If this is an individual account plan, was there a blackout period	2013-08-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-08-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-08-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-08-31	No
Were any leases to which the plan was party in default or uncollectible	2013-08-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-08-31	No
Was there a failure to transmit to the plan any participant contributions	2013-08-31	No
Has the plan failed to provide any benefit when due under the plan	2013-08-31	No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-08-31	No
Did the plan have assets held for investment	2013-08-31	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	2013-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-08-31	No
2012 : DEVELOPMENTAL SERVICES OF NEBRASKA, INC 2012 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-08-31	No
Was this plan covered by a fidelity bond	2012-08-31	No
If this is an individual account plan, was there a blackout period	2012-08-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-08-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-08-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-08-31	No
Were any leases to which the plan was party in default or uncollectible	2012-08-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-08-31	No
Was there a failure to transmit to the plan any participant contributions	2012-08-31	No
Has the plan failed to provide any benefit when due under the plan	2012-08-31	No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-08-31	No
Did the plan have assets held for investment	2012-08-31	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	2012-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-08-31	No

Form 5500 Responses for DEVELOPMENTAL SERVICES OF NEBRASKA, INC

2013: DEVELOPMENTAL SERVICES OF NEBRASKA, INC 2013 form 5500 responses
2013-09-01	Type of plan entity	Single employer plan
2013-09-01	Plan funding arrangement – Insurance	Yes
2013-09-01	Plan benefit arrangement – Insurance	Yes
2012: DEVELOPMENTAL SERVICES OF NEBRASKA, INC 2012 form 5500 responses
2012-09-01	Type of plan entity	Single employer plan
2012-09-01	Plan funding arrangement – Insurance	Yes
2012-09-01	Plan benefit arrangement – Insurance	Yes
2011: DEVELOPMENTAL SERVICES OF NEBRASKA, INC 2011 form 5500 responses
2011-09-01	Type of plan entity	Single employer plan
2011-09-01	Plan funding arrangement – Insurance	Yes
2011-09-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	DEVELOPMENTAL SERVICES OF NEBRASKA, INC.
Employer identification number (EIN):	470772447
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations

Plan id#	Filing Submission Date	Name of Administrator
501	2013-09-01
501	2012-09-01	JUSTIN GULBRANDSON
501	2011-09-01	JUSTIN GULBRANDSON