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HOSPICE OF SURRY RETIREMENT PLAN 401k Plan overview

Plan NameHOSPICE OF SURRY RETIREMENT PLAN
Plan identification number 001

HOSPICE OF SURRY RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

HOSPICE OF SURRY, INC. has sponsored the creation of one or more 401k plans.

Company Name:HOSPICE OF SURRY, INC.
Employer identification number (EIN):561346589
NAIC Classification:621610
NAIC Description:Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOSPICE OF SURRY RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012014-10-01RON PARDUE

Plan Statistics for HOSPICE OF SURRY RETIREMENT PLAN

401k plan membership statisitcs for HOSPICE OF SURRY RETIREMENT PLAN

Measure Date Value
2014: HOSPICE OF SURRY RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01264
Total number of active participants reported on line 7a of the Form 55002014-10-01253
Number of other retired or separated participants entitled to future benefits2014-10-0127
Total of all active and inactive participants2014-10-01280
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-10-010
Total participants2014-10-01280
Number of participants with account balances2014-10-01131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-10-013

Financial Data on HOSPICE OF SURRY RETIREMENT PLAN

Measure Date Value
2015 : HOSPICE OF SURRY RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total income from all sources (including contributions)2015-09-30$433,340
Total loss/gain on sale of assets2015-09-30$0
Total of all expenses incurred2015-09-30$349,738
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$345,197
Expenses. Certain deemed distributions of participant loans2015-09-30$108
Value of total corrective distributions2015-09-30$2,706
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$419,925
Value of total assets at end of year2015-09-30$3,247,420
Value of total assets at beginning of year2015-09-30$3,163,818
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$1,727
Total interest from all sources2015-09-30$38,480
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$0
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$65,000
If this is an individual account plan, was there a blackout period2015-09-30No
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$343,324
Participant contributions at end of year2015-09-30$47,416
Participant contributions at beginning of year2015-09-30$56,083
Income. Received or receivable in cash from other sources (including rollovers)2015-09-30$8,127
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$83,602
Value of net assets at end of year (total assets less liabilities)2015-09-30$3,247,420
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$3,163,818
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-09-30$1,311,004
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-09-30$1,248,138
Interest on participant loans2015-09-30$1,511
Interest earned on other investments2015-09-30$36,969
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-09-30$1,889,000
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-09-30$1,859,597
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-09-30$-25,065
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30No
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$68,474
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$345,197
Contract administrator fees2015-09-30$1,727
Did the plan have assets held for investment2015-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30Yes
Opinion of an independent qualified public accountant for this plan2015-09-30Disclaimer
Accountancy firm name2015-09-30DIXON HUGES GOODMAN LLP
Accountancy firm EIN2015-09-30560747981

Form 5500 Responses for HOSPICE OF SURRY RETIREMENT PLAN

2014: HOSPICE OF SURRY RETIREMENT PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedYes
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes

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