401k Plan data: COMPLETE CARE 401(K) PLAN plan

COMPLETE CARE 401(K) PLAN 401k Plan overview

Plan Name	COMPLETE CARE 401(K) PLAN
Plan identification number	001

COMPLETE CARE 401(K) PLAN 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.
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.
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

COMPLETE CARE LLC has sponsored the creation of one or more 401k plans.

Company Name: COMPLETE CARE LLC

Employer identification number (EIN): 822141949

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMPLETE CARE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-05-18 DAVID HERBST 2019-09-26

Plan Statistics for COMPLETE CARE 401(K) PLAN

401k plan membership statisitcs for COMPLETE CARE 401(K) PLAN

Measure Date Value
2022: COMPLETE CARE 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 5,742
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 5,918
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 1,015
Total of all active and inactive participants 2022-01-01 6,933
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 1
Total participants 2022-01-01 6,934
Number of participants with account balances 2022-01-01 5,897
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: COMPLETE CARE 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 2,187
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 4,480
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 734
Total of all active and inactive participants 2021-01-01 5,214
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 5,214
Number of participants with account balances 2021-01-01 4,592
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: COMPLETE CARE 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,898
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 1,782
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 237
Total of all active and inactive participants 2020-01-01 2,019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 2,019
Number of participants with account balances 2020-01-01 1,743
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: COMPLETE CARE 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,123
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 1,801
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 34
Total of all active and inactive participants 2019-01-01 1,835
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 1,835
Number of participants with account balances 2019-01-01 400
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: COMPLETE CARE 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-05-18 1,266
Total number of active participants reported on line 7a of the Form 5500 2018-05-18 1,131
Number of retired or separated participants receiving benefits 2018-05-18 0
Number of other retired or separated participants entitled to future benefits 2018-05-18 11
Total of all active and inactive participants 2018-05-18 1,142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-05-18 0
Total participants 2018-05-18 1,142
Number of participants with account balances 2018-05-18 196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-05-18 0

Measure	Date	Value
2022: COMPLETE CARE 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	5,742
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	5,918
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	1,015
Total of all active and inactive participants	2022-01-01	6,933
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	1
Total participants	2022-01-01	6,934
Number of participants with account balances	2022-01-01	5,897
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: COMPLETE CARE 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	2,187
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	4,480
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	734
Total of all active and inactive participants	2021-01-01	5,214
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	5,214
Number of participants with account balances	2021-01-01	4,592
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: COMPLETE CARE 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,898
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	1,782
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	237
Total of all active and inactive participants	2020-01-01	2,019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	2,019
Number of participants with account balances	2020-01-01	1,743
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: COMPLETE CARE 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,123
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	1,801
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	34
Total of all active and inactive participants	2019-01-01	1,835
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	1,835
Number of participants with account balances	2019-01-01	400
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: COMPLETE CARE 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-05-18	1,266
Total number of active participants reported on line 7a of the Form 5500	2018-05-18	1,131
Number of retired or separated participants receiving benefits	2018-05-18	0
Number of other retired or separated participants entitled to future benefits	2018-05-18	11
Total of all active and inactive participants	2018-05-18	1,142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-05-18	0
Total participants	2018-05-18	1,142
Number of participants with account balances	2018-05-18	196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-05-18	0

Financial Data on COMPLETE CARE 401(K) PLAN

Measure	Date	Value
2022 : COMPLETE CARE 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total transfer of assets to this plan	2022-12-31	$0
Total transfer of assets from this plan	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$49,329
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$4,459,381
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$3,934,351
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$3,204,130
Expenses. Certain deemed distributions of participant loans	2022-12-31	$36,404
Value of total corrective distributions	2022-12-31	$52,156
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$7,681,332
Value of total assets at end of year	2022-12-31	$23,259,970
Value of total assets at beginning of year	2022-12-31	$22,685,611
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$641,661
Total interest from all sources	2022-12-31	$23,858
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$1,018,650
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$1,018,650
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$6,565,288
Participant contributions at end of year	2022-12-31	$633,971
Participant contributions at beginning of year	2022-12-31	$444,827
Participant contributions at end of year	2022-12-31	$160,424
Participant contributions at beginning of year	2022-12-31	$62,417
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$961,977
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$49,329
Other income not declared elsewhere	2022-12-31	$7,235
Administrative expenses (other) incurred	2022-12-31	$641,661
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$525,030
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$23,210,641
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$22,685,611
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$21,317,277
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$21,292,356
Interest on participant loans	2022-12-31	$23,858
Value of interest in common/collective trusts at end of year	2022-12-31	$994,191
Value of interest in common/collective trusts at beginning of year	2022-12-31	$885,971
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-4,287,635
Net investment gain or loss from common/collective trusts	2022-12-31	$15,941
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$154,067
Employer contributions (assets) at end of year	2022-12-31	$154,107
Employer contributions (assets) at beginning of year	2022-12-31	$40
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$3,204,130
Did the plan have assets held for investment	2022-12-31	Yes
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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	FASTEN HALBERSTAM LLP
Accountancy firm EIN	2022-12-31	472319109
2021 : COMPLETE CARE 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$4,721
Total income from all sources (including contributions)	2021-12-31	$16,574,992
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$1,832,818
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$1,475,335
Expenses. Certain deemed distributions of participant loans	2021-12-31	$13,536
Value of total corrective distributions	2021-12-31	$905
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$15,185,891
Value of total assets at end of year	2021-12-31	$22,685,611
Value of total assets at beginning of year	2021-12-31	$7,948,158
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$343,042
Total interest from all sources	2021-12-31	$14,510
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$1,125,599
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$1,125,599
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$3,620,856
Participant contributions at end of year	2021-12-31	$444,827
Participant contributions at beginning of year	2021-12-31	$226,263
Participant contributions at end of year	2021-12-31	$62,417
Participant contributions at beginning of year	2021-12-31	$51,815
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$11,561,370
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$4,721
Other income not declared elsewhere	2021-12-31	$4,936
Administrative expenses (other) incurred	2021-12-31	$343,042
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$14,742,174
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$22,685,611
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$7,943,437
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$21,292,356
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$6,836,043
Interest on participant loans	2021-12-31	$14,510
Value of interest in common/collective trusts at end of year	2021-12-31	$885,971
Value of interest in common/collective trusts at beginning of year	2021-12-31	$826,959
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$231,843
Net investment gain or loss from common/collective trusts	2021-12-31	$12,213
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$3,665
Employer contributions (assets) at end of year	2021-12-31	$40
Employer contributions (assets) at beginning of year	2021-12-31	$7,078
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$1,475,335
Did the plan have assets held for investment	2021-12-31	Yes
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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	FASTEN HALBERSTAM LLP
Accountancy firm EIN	2021-12-31	472319109
2020 : COMPLETE CARE 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$4,721
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$3,531,692
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$1,265,700
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,091,058
Expenses. Certain deemed distributions of participant loans	2020-12-31	$3,128
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$2,696,350
Value of total assets at end of year	2020-12-31	$7,948,158
Value of total assets at beginning of year	2020-12-31	$5,677,445
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$171,514
Total interest from all sources	2020-12-31	$11,072
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$205,785
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$205,785
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$1,578,949
Participant contributions at end of year	2020-12-31	$226,263
Participant contributions at beginning of year	2020-12-31	$197,104
Participant contributions at end of year	2020-12-31	$51,815
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$1,110,323
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$4,721
Other income not declared elsewhere	2020-12-31	$194
Administrative expenses (other) incurred	2020-12-31	$171,514
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$2,265,992
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$7,943,437
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$5,677,445
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$6,836,043
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$5,148,108
Interest on participant loans	2020-12-31	$11,072
Value of interest in common/collective trusts at end of year	2020-12-31	$826,959
Value of interest in common/collective trusts at beginning of year	2020-12-31	$332,233
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$611,454
Net investment gain or loss from common/collective trusts	2020-12-31	$6,837
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$7,078
Employer contributions (assets) at end of year	2020-12-31	$7,078
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,091,058
Did the plan have assets held for investment	2020-12-31	Yes
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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	FASTEN HALBERSTAM LLP
Accountancy firm EIN	2020-12-31	472319109
2019 : COMPLETE CARE 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total transfer of assets to this plan	2019-12-31	$536,212
Total transfer of assets from this plan	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$4,324,511
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$736,440
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$637,216
Expenses. Certain deemed distributions of participant loans	2019-12-31	$5,935
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$3,865,323
Value of total assets at end of year	2019-12-31	$5,677,445
Value of total assets at beginning of year	2019-12-31	$1,553,162
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$93,289
Total interest from all sources	2019-12-31	$6,274
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$184,391
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$184,391
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$156,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$810,627
Participant contributions at end of year	2019-12-31	$197,104
Participant contributions at beginning of year	2019-12-31	$75,648
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$3,054,696
Administrative expenses (other) incurred	2019-12-31	$93,289
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$3,588,071
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$5,677,445
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,553,162
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$5,148,108
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,376,615
Interest on participant loans	2019-12-31	$6,274
Value of interest in common/collective trusts at end of year	2019-12-31	$332,233
Value of interest in common/collective trusts at beginning of year	2019-12-31	$100,899
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$264,500
Net investment gain or loss from common/collective trusts	2019-12-31	$4,023
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$637,216
Did the plan have assets held for investment	2019-12-31	Yes
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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	FASTEN HALBERSTAM LLP
Accountancy firm EIN	2019-12-31	472319109
2018 : COMPLETE CARE 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total transfer of assets from this plan	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$1,557,312
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$4,150
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$144
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,677,954
Value of total assets at end of year	2018-12-31	$1,553,162
Value of total assets at beginning of year	2018-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$4,006
Total interest from all sources	2018-12-31	$791
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$58,657
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$58,657
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$1,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$196,773
Participant contributions at end of year	2018-12-31	$75,648
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$1,481,181
Other income not declared elsewhere	2018-12-31	$87
Administrative expenses (other) incurred	2018-12-31	$4,006
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$1,553,162
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,553,162
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$1,376,615
Interest on participant loans	2018-12-31	$791
Value of interest in common/collective trusts at end of year	2018-12-31	$100,899
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-180,604
Net investment gain or loss from common/collective trusts	2018-12-31	$427
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$144
Did the plan have assets held for investment	2018-12-31	Yes
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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	FASTEN HALBERSTAM LLP
Accountancy firm EIN	2018-12-31	472319109

Form 5500 Responses for COMPLETE CARE 401(K) PLAN

2022: COMPLETE CARE 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: COMPLETE CARE 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: COMPLETE CARE 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: COMPLETE CARE 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: COMPLETE CARE 401(K) PLAN 2018 form 5500 responses
2018-05-18	Type of plan entity	Single employer plan
2018-05-18	First time form 5500 has been submitted	Yes
2018-05-18	Submission has been amended	No
2018-05-18	This submission is the final filing	No
2018-05-18	This return/report is a short plan year return/report (less than 12 months)	Yes
2018-05-18	Plan is a collectively bargained plan	No
2018-05-18	Plan funding arrangement – Trust	Yes
2018-05-18	Plan benefit arrangement - Trust	Yes

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Company Name:	COMPLETE CARE LLC
Employer identification number (EIN):	822141949
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities