401k Plan data: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN plan

HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 401k Plan overview

Plan Name	HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN
Plan identification number	001

HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing 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

HOSPICE OF THE SHOALS 401 K PROFIT SHARING PLAN has sponsored the creation of one or more 401k plans.

Company Name: HOSPICE OF THE SHOALS 401 K PROFIT SHARING PLAN

Employer identification number (EIN): 630830280

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-10-01
001 2017-10-01 HEATHER PATTERSON
001 2016-10-01 HEATHER PATTERSON
001 2015-10-01 HEATHER PATTERSON
001 2014-10-01 DEBRA PRUITT
001 2013-10-01 DEBRA PRUITT
001 2012-10-01 DEBRA PRUITT
001 2011-10-01 DEBRA PRUITT
001 2009-10-01 DEBRA PRUITT
001 2009-10-01 DEBRA PRUITT

Plan Statistics for HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN

401k plan membership statisitcs for HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN

Measure Date Value
2018: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-10-01 11
Total number of active participants reported on line 7a of the Form 5500 2018-10-01 0
Number of retired or separated participants receiving benefits 2018-10-01 0
Number of other retired or separated participants entitled to future benefits 2018-10-01 0
Total of all active and inactive participants 2018-10-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-10-01 0
Total participants 2018-10-01 0
Number of participants with account balances 2018-10-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-10-01 0
2017: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-10-01 15
Total number of active participants reported on line 7a of the Form 5500 2017-10-01 3
Number of retired or separated participants receiving benefits 2017-10-01 0
Number of other retired or separated participants entitled to future benefits 2017-10-01 11
Total of all active and inactive participants 2017-10-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-10-01 0
Total participants 2017-10-01 14
Number of participants with account balances 2017-10-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-10-01 0
2016: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-10-01 16
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 4
Number of retired or separated participants receiving benefits 2016-10-01 0
Number of other retired or separated participants entitled to future benefits 2016-10-01 11
Total of all active and inactive participants 2016-10-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-10-01 0
Total participants 2016-10-01 15
Number of participants with account balances 2016-10-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-10-01 0
2015: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 16
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 7
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 9
Total of all active and inactive participants 2015-10-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-10-01 0
Total participants 2015-10-01 16
Number of participants with account balances 2015-10-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-10-01 0
2014: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 15
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 8
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 8
Total of all active and inactive participants 2014-10-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-10-01 0
Total participants 2014-10-01 16
Number of participants with account balances 2014-10-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-10-01 0
2013: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 17
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 8
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 7
Total of all active and inactive participants 2013-10-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 0
Total participants 2013-10-01 15
Number of participants with account balances 2013-10-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-10-01 0
2012: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 18
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 10
Number of retired or separated participants receiving benefits 2012-10-01 0
Number of other retired or separated participants entitled to future benefits 2012-10-01 7
Total of all active and inactive participants 2012-10-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 0
Total participants 2012-10-01 17
Number of participants with account balances 2012-10-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 0
2011: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 18
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 10
Number of retired or separated participants receiving benefits 2011-10-01 0
Number of other retired or separated participants entitled to future benefits 2011-10-01 8
Total of all active and inactive participants 2011-10-01 18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 0
Total participants 2011-10-01 18
Number of participants with account balances 2011-10-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-10-01 0
2009: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 27
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 17
Number of retired or separated participants receiving benefits 2009-10-01 0
Number of other retired or separated participants entitled to future benefits 2009-10-01 8
Total of all active and inactive participants 2009-10-01 25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 0
Total participants 2009-10-01 25
Number of participants with account balances 2009-10-01 20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-10-01 2

Measure	Date	Value
2018: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-10-01	11
Total number of active participants reported on line 7a of the Form 5500	2018-10-01	0
Number of retired or separated participants receiving benefits	2018-10-01	0
Number of other retired or separated participants entitled to future benefits	2018-10-01	0
Total of all active and inactive participants	2018-10-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-10-01	0
Total participants	2018-10-01	0
Number of participants with account balances	2018-10-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-10-01	0
2017: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-10-01	15
Total number of active participants reported on line 7a of the Form 5500	2017-10-01	3
Number of retired or separated participants receiving benefits	2017-10-01	0
Number of other retired or separated participants entitled to future benefits	2017-10-01	11
Total of all active and inactive participants	2017-10-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-10-01	0
Total participants	2017-10-01	14
Number of participants with account balances	2017-10-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-10-01	0
2016: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	16
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	4
Number of retired or separated participants receiving benefits	2016-10-01	0
Number of other retired or separated participants entitled to future benefits	2016-10-01	11
Total of all active and inactive participants	2016-10-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-10-01	0
Total participants	2016-10-01	15
Number of participants with account balances	2016-10-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-10-01	0
2015: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	16
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	7
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	9
Total of all active and inactive participants	2015-10-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-10-01	0
Total participants	2015-10-01	16
Number of participants with account balances	2015-10-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-10-01	0
2014: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	15
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	8
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	8
Total of all active and inactive participants	2014-10-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-10-01	0
Total participants	2014-10-01	16
Number of participants with account balances	2014-10-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-10-01	0
2013: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	17
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	8
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	7
Total of all active and inactive participants	2013-10-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	0
Total participants	2013-10-01	15
Number of participants with account balances	2013-10-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-10-01	0
2012: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	18
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	10
Number of retired or separated participants receiving benefits	2012-10-01	0
Number of other retired or separated participants entitled to future benefits	2012-10-01	7
Total of all active and inactive participants	2012-10-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	0
Total participants	2012-10-01	17
Number of participants with account balances	2012-10-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	0
2011: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	18
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	10
Number of retired or separated participants receiving benefits	2011-10-01	0
Number of other retired or separated participants entitled to future benefits	2011-10-01	8
Total of all active and inactive participants	2011-10-01	18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	0
Total participants	2011-10-01	18
Number of participants with account balances	2011-10-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-10-01	0
2009: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	27
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	17
Number of retired or separated participants receiving benefits	2009-10-01	0
Number of other retired or separated participants entitled to future benefits	2009-10-01	8
Total of all active and inactive participants	2009-10-01	25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	0
Total participants	2009-10-01	25
Number of participants with account balances	2009-10-01	20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-10-01	2

Financial Data on HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN

Measure	Date	Value
2019 : HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources	2019-07-23	$-16,871
Expenses. Total of all expenses incurred	2019-07-23	$706,936
Benefits paid (including direct rollovers)	2019-07-23	$705,357
Total plan assets at end of year	2019-07-23	$0
Total plan assets at beginning of year	2019-07-23	$723,807
Total contributions received or receivable from participants	2019-07-23	$1,801
Expenses. Other expenses not covered elsewhere	2019-07-23	$1,579
Other income received	2019-07-23	$-18,672
Net income (gross income less expenses)	2019-07-23	$-723,807
Net plan assets at end of year (total assets less liabilities)	2019-07-23	$0
Net plan assets at beginning of year (total assets less liabilities)	2019-07-23	$723,807
2018 : HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-09-30	$103,816
Expenses. Total of all expenses incurred	2018-09-30	$55,099
Benefits paid (including direct rollovers)	2018-09-30	$53,670
Total plan assets at end of year	2018-09-30	$723,807
Total plan assets at beginning of year	2018-09-30	$675,090
Total contributions received or receivable from participants	2018-09-30	$6,922
Expenses. Other expenses not covered elsewhere	2018-09-30	$1,429
Other income received	2018-09-30	$96,894
Net income (gross income less expenses)	2018-09-30	$48,717
Net plan assets at end of year (total assets less liabilities)	2018-09-30	$723,807
Net plan assets at beginning of year (total assets less liabilities)	2018-09-30	$675,090
2017 : HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-09-30	$90,413
Expenses. Total of all expenses incurred	2017-09-30	$1,617
Total plan assets at end of year	2017-09-30	$675,090
Total plan assets at beginning of year	2017-09-30	$586,294
Total contributions received or receivable from participants	2017-09-30	$9,553
Expenses. Other expenses not covered elsewhere	2017-09-30	$1,617
Other income received	2017-09-30	$80,860
Net income (gross income less expenses)	2017-09-30	$88,796
Net plan assets at end of year (total assets less liabilities)	2017-09-30	$675,090
Net plan assets at beginning of year (total assets less liabilities)	2017-09-30	$586,294
2016 : HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-09-30	$75,022
Expenses. Total of all expenses incurred	2016-09-30	$190
Total plan assets at end of year	2016-09-30	$586,294
Total plan assets at beginning of year	2016-09-30	$511,462
Total contributions received or receivable from participants	2016-09-30	$11,826
Expenses. Other expenses not covered elsewhere	2016-09-30	$190
Other income received	2016-09-30	$63,196
Net income (gross income less expenses)	2016-09-30	$74,832
Net plan assets at end of year (total assets less liabilities)	2016-09-30	$586,294
Net plan assets at beginning of year (total assets less liabilities)	2016-09-30	$511,462
2015 : HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-09-30	$23,762
Expenses. Total of all expenses incurred	2015-09-30	$25,891
Benefits paid (including direct rollovers)	2015-09-30	$25,558
Total plan assets at end of year	2015-09-30	$511,462
Total plan assets at beginning of year	2015-09-30	$513,591
Total contributions received or receivable from participants	2015-09-30	$25,073
Expenses. Other expenses not covered elsewhere	2015-09-30	$333
Other income received	2015-09-30	$-1,311
Net income (gross income less expenses)	2015-09-30	$-2,129
Net plan assets at end of year (total assets less liabilities)	2015-09-30	$511,462
Net plan assets at beginning of year (total assets less liabilities)	2015-09-30	$513,591
2014 : HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-09-30	$74,380
Expenses. Total of all expenses incurred	2014-09-30	$19,746
Benefits paid (including direct rollovers)	2014-09-30	$19,295
Total plan assets at end of year	2014-09-30	$513,591
Total plan assets at beginning of year	2014-09-30	$458,957
Total contributions received or receivable from participants	2014-09-30	$22,853
Expenses. Other expenses not covered elsewhere	2014-09-30	$451
Other income received	2014-09-30	$49,913
Net income (gross income less expenses)	2014-09-30	$54,634
Net plan assets at end of year (total assets less liabilities)	2014-09-30	$513,591
Net plan assets at beginning of year (total assets less liabilities)	2014-09-30	$458,957
Total contributions received or receivable from employer(s)	2014-09-30	$1,614
2013 : HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-09-30	$102,666
Expenses. Total of all expenses incurred	2013-09-30	$1,008
Total plan assets at end of year	2013-09-30	$458,957
Total plan assets at beginning of year	2013-09-30	$357,299
Total contributions received or receivable from participants	2013-09-30	$25,917
Expenses. Other expenses not covered elsewhere	2013-09-30	$1,008
Other income received	2013-09-30	$65,961
Net income (gross income less expenses)	2013-09-30	$101,658
Net plan assets at end of year (total assets less liabilities)	2013-09-30	$458,957
Net plan assets at beginning of year (total assets less liabilities)	2013-09-30	$357,299
Total contributions received or receivable from employer(s)	2013-09-30	$10,788
2012 : HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-09-30	$102,224
Expenses. Total of all expenses incurred	2012-09-30	$25,665
Benefits paid (including direct rollovers)	2012-09-30	$24,684
Total plan assets at end of year	2012-09-30	$357,299
Total plan assets at beginning of year	2012-09-30	$280,740
Total contributions received or receivable from participants	2012-09-30	$24,854
Expenses. Other expenses not covered elsewhere	2012-09-30	$981
Other income received	2012-09-30	$67,148
Net income (gross income less expenses)	2012-09-30	$76,559
Net plan assets at end of year (total assets less liabilities)	2012-09-30	$357,299
Net plan assets at beginning of year (total assets less liabilities)	2012-09-30	$280,740
Total contributions received or receivable from employer(s)	2012-09-30	$10,222
2011 : HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-09-30	$21,304
Expenses. Total of all expenses incurred	2011-09-30	$16,151
Benefits paid (including direct rollovers)	2011-09-30	$15,238
Total plan assets at end of year	2011-09-30	$280,740
Total plan assets at beginning of year	2011-09-30	$275,587
Total contributions received or receivable from participants	2011-09-30	$25,500
Expenses. Other expenses not covered elsewhere	2011-09-30	$913
Other income received	2011-09-30	$-14,723
Net income (gross income less expenses)	2011-09-30	$5,153
Net plan assets at end of year (total assets less liabilities)	2011-09-30	$280,740
Net plan assets at beginning of year (total assets less liabilities)	2011-09-30	$275,587
Total contributions received or receivable from employer(s)	2011-09-30	$10,527

Form 5500 Responses for HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN

2018: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2018 form 5500 responses
2018-10-01	Type of plan entity	Single employer plan
2018-10-01	This submission is the final filing	Yes
2018-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2018-10-01	Plan funding arrangement – Trust	Yes
2018-10-01	Plan benefit arrangement - Trust	Yes
2017: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	Plan funding arrangement – Trust	Yes
2017-10-01	Plan benefit arrangement - Trust	Yes
2016: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Plan funding arrangement – Trust	Yes
2016-10-01	Plan benefit arrangement - Trust	Yes
2015: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Plan funding arrangement – Trust	Yes
2015-10-01	Plan benefit arrangement - Trust	Yes
2014: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING 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: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING 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
2012: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Plan funding arrangement – Trust	Yes
2012-10-01	Plan benefit arrangement - Trust	Yes
2011: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement - Trust	Yes
2009: HOSPICE OF THE SHOALS, INC. 401 K PROFIT SHARING PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	Yes
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement - Trust	Yes

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Company Name:	HOSPICE OF THE SHOALS 401 K PROFIT SHARING PLAN
Employer identification number (EIN):	630830280
NAIC Classification:	621610
NAIC Description:	Home Health Care Services

Plan id#	Filing Submission Date	Name of Administrator
001	2018-10-01
001	2017-10-01	HEATHER PATTERSON
001	2016-10-01	HEATHER PATTERSON
001	2015-10-01	HEATHER PATTERSON
001	2014-10-01	DEBRA PRUITT
001	2013-10-01	DEBRA PRUITT
001	2012-10-01	DEBRA PRUITT
001	2011-10-01	DEBRA PRUITT
001	2009-10-01	DEBRA PRUITT
001	2009-10-01	DEBRA PRUITT