401k Plan data: SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST plan

SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST 401k Plan overview

Plan Name	SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST
Plan identification number	001

SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
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

SENIOR CARE SYSTEMS PA has sponsored the creation of one or more 401k plans.

Company Name: SENIOR CARE SYSTEMS PA

Employer identification number (EIN): 561948428

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SENIOR CARE SYSTEMS PA 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 2023-01-01 CLEMENT SURAK 2024-04-18
001 2022-01-01 CLEMENT R SURAK 2023-03-29
001 2021-01-01 CLEMENT R SURAK 2022-04-12
001 2020-01-01 CLEMENT R SURAK 2021-03-29
001 2019-01-01 CLEMENT R SURAK 2020-04-09
001 2018-01-01 CLEMENT R SURAK 2019-03-20
001 2017-01-01 CLEMENT R SURAK 2018-04-17
001 2016-01-01 CLEMENT R SURAK 2017-06-09
001 2015-01-01 CLEMENT R SURAK 2016-05-13
001 2014-01-01 CLEMENT R SURAK 2015-06-25
001 2013-01-01 CLEMENT R SURAK 2014-05-26
001 2012-01-01 SENIOR CARE SYSTEMS PA
001 2011-01-01 CLEMENT SURAK CLEMENT SURAK 2013-11-22
001 2010-01-01 CLEMENT SURAK
001 2009-01-01
001 2009-01-01 MARSHA FRETWELL

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01	CLEMENT SURAK	2024-04-18
001	2022-01-01	CLEMENT R SURAK	2023-03-29
001	2021-01-01	CLEMENT R SURAK	2022-04-12
001	2020-01-01	CLEMENT R SURAK	2021-03-29
001	2019-01-01	CLEMENT R SURAK	2020-04-09
001	2018-01-01	CLEMENT R SURAK	2019-03-20
001	2017-01-01	CLEMENT R SURAK	2018-04-17
001	2016-01-01	CLEMENT R SURAK	2017-06-09
001	2015-01-01	CLEMENT R SURAK	2016-05-13
001	2014-01-01	CLEMENT R SURAK	2015-06-25
001	2013-01-01	CLEMENT R SURAK	2014-05-26
001	2012-01-01	SENIOR CARE SYSTEMS PA
001	2011-01-01	CLEMENT SURAK		CLEMENT SURAK	2013-11-22
001	2010-01-01	CLEMENT SURAK
001	2009-01-01
001	2009-01-01	MARSHA FRETWELL

Plan Statistics for SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST

401k plan membership statisitcs for SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST

Measure Date Value
2025: SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST 2025 401k membership
Total number of particpants at beginning of year 2025-05-05 9
Total number of particpants at end of year 2025-05-05 9
Number of Participants With Account Balances 2025-05-05 8
2024: SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST 2024 401k membership
Total number of particpants at beginning of year 2024-04-18 8
Total number of particpants at end of year 2024-04-18 9
Number of Participants With Account Balances 2024-04-18 8
2012: SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 5
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 0
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 5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 4
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 3
Total of all active and inactive participants 2011-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 7
Number of participants with account balances 2011-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 6
Total of all active and inactive participants 2010-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 7
Number of participants with account balances 2010-01-01 7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 6
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 5
Total of all active and inactive participants 2009-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 11
Number of participants with account balances 2009-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2025: SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST 2025 401k membership
Total number of particpants at beginning of year	2025-05-05	9
Total number of particpants at end of year	2025-05-05	9
Number of Participants With Account Balances	2025-05-05	8
2024: SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST 2024 401k membership
Total number of particpants at beginning of year	2024-04-18	8
Total number of particpants at end of year	2024-04-18	9
Number of Participants With Account Balances	2024-04-18	8
2012: SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	5
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	0
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	5
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	4
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	3
Total of all active and inactive participants	2011-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	7
Number of participants with account balances	2011-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	6
Total of all active and inactive participants	2010-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	7
Number of participants with account balances	2010-01-01	7
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	6
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	5
Total of all active and inactive participants	2009-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	11
Number of participants with account balances	2009-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST

Measure	Date	Value
2025 : SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST 2025 401k financial data
Total transfers to/from plan in this plan year	2025-05-05	0
Total liabilities as of the end of the plan year	2025-05-05	0
Total liabilities as of the beginning of the plan year	2025-05-05	0
Total expenses incurred by plan in this plan year	2025-05-05	120
Net assets as of the end of the plan year	2025-05-05	1945297
Total assets as of the beginning of the plan year	2025-05-05	1527466
Value of plan covered by a fidelity bond	2025-05-05	152747
Participant contributions to plan in this plan year	2025-05-05	110917
Value of participant loans at end of plan year	2025-05-05	730
Other expenses paid from plan in this plan year	2025-05-05	0
Other contributions to plan in this plan year	2025-05-05	0
Other income to plan in this plan year	2025-05-05	254752
Plan net income in this plan year	2025-05-05	417831
Net assets as of the end of the plan year	2025-05-05	1945297
Net assets as of the beginning of the plan year	2025-05-05	1527466
Employer contributions to plan in this plan year	2025-05-05	52282
Expensese paid to adminstrative service provicers from plan in this plan year	2025-05-05	120
2024 : SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST 2024 401k financial data
Total transfers to/from plan in this plan year	2024-04-18	0
Total liabilities as of the end of the plan year	2024-04-18	0
Total liabilities as of the beginning of the plan year	2024-04-18	0
Total expenses incurred by plan in this plan year	2024-04-18	120
Net assets as of the end of the plan year	2024-04-18	1527466
Total assets as of the beginning of the plan year	2024-04-18	1153218
Value of plan covered by a fidelity bond	2024-04-18	115322
Participant contributions to plan in this plan year	2024-04-18	108756
Other expenses paid from plan in this plan year	2024-04-18	0
Other contributions to plan in this plan year	2024-04-18	0
Other income to plan in this plan year	2024-04-18	255927
Plan net income in this plan year	2024-04-18	374248
Net assets as of the end of the plan year	2024-04-18	1527466
Net assets as of the beginning of the plan year	2024-04-18	1153218
Employer contributions to plan in this plan year	2024-04-18	9685
Expensese paid to adminstrative service provicers from plan in this plan year	2024-04-18	120
2012 : SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total plan liabilities at end of year	2012-12-31	$0
Total plan liabilities at beginning of year	2012-12-31	$0
Total income from all sources	2012-12-31	$-136,695
Expenses. Total of all expenses incurred	2012-12-31	$150,813
Benefits paid (including direct rollovers)	2012-12-31	$150,813
Total plan assets at end of year	2012-12-31	$2,622
Total plan assets at beginning of year	2012-12-31	$290,130
Value of fidelity bond covering the plan	2012-12-31	$50,000
Total contributions received or receivable from participants	2012-12-31	$10,180
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	$-146,875
Net income (gross income less expenses)	2012-12-31	$-287,508
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$2,622
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$290,130
Total contributions received or receivable from employer(s)	2012-12-31	$0
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$0
2011 : SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST 2011 401k financial data
Total income from all sources	2011-12-31	$-9,312
Expenses. Total of all expenses incurred	2011-12-31	$63
Benefits paid (including direct rollovers)	2011-12-31	$63
Total plan assets at end of year	2011-12-31	$290,130
Total plan assets at beginning of year	2011-12-31	$299,505
Value of fidelity bond covering the plan	2011-12-31	$10,000
Total contributions received or receivable from participants	2011-12-31	$8,631
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	$-17,943
Net income (gross income less expenses)	2011-12-31	$-9,375
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$290,130
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$299,505
Total contributions received or receivable from employer(s)	2011-12-31	$0
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
2010 : SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total income from all sources	2010-12-31	$56,348
Expenses. Total of all expenses incurred	2010-12-31	$62,157
Benefits paid (including direct rollovers)	2010-12-31	$62,157
Total plan assets at end of year	2010-12-31	$299,505
Total plan assets at beginning of year	2010-12-31	$305,314
Value of fidelity bond covering the plan	2010-12-31	$10,000
Total contributions received or receivable from participants	2010-12-31	$12,680
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$43,668
Net income (gross income less expenses)	2010-12-31	$-5,809
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$299,505
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$305,314
Assets. Value of participant loans	2010-12-31	$0
Total contributions received or receivable from employer(s)	2010-12-31	$0
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$0
Amount contributed by the employer to the plan for this plan year	2010-12-31	$0
2009 : SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$0
Amount contributed by the employer to the plan for this plan year	2009-12-31	$0

Form 5500 Responses for SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST

2012: SENIOR CARE SYSTEMS PA 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: SENIOR CARE SYSTEMS PA 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 – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: SENIOR CARE SYSTEMS PA 401 K PROFIT SHARING PLAN TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-019235
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-019235
Policy instance	1

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Company Name:	SENIOR CARE SYSTEMS PA
Employer identification number (EIN):	561948428
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)