401k Plan data: CELEBRITY HOMECARE, INC. 401 (K) PROFIT SHARING PLAN plan

CELEBRITY HOMECARE, INC. 401 (K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	CELEBRITY HOMECARE, INC. 401 (K) PROFIT SHARING PLAN
Plan identification number	001

CELEBRITY HOMECARE, INC. 401 (K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Benefits are primarily flat dollar (includes dollars per year of service)
Cash balance or similar plan - Plan has a "cash balance" formula. For this purpose, a "cash balance" formula is a benefit formula in a defined benefit plan by whatever name (for example, personal account plan, pension equity plan, life cycle plan, cash account plan, etc.) that rather than, or in addition to, expressing the accrued benefit as a life annuity commencing at normal retirement age, defines benefits for each employee in terms more common to a defined contribution plan such as a single sum distribution amount (for example, 10 percent of final average pay times years of service, or the amount of the employee's hypothetical account balance).
Profit-sharing
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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.
Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).
Health (other than dental or vision)

401k Sponsoring company profile

CELEBRITY HOMECARE, INC. has sponsored the creation of one or more 401k plans.

Company Name: CELEBRITY HOMECARE, INC.

Employer identification number (EIN): 954302457

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Additional information about CELEBRITY HOMECARE, INC.

Jurisdiction of Incorporation: Nevada Department of State

Incorporation Date: 2005-03-18

Company Identification Number: 20051054909

Legal Registered Office Address: 2511 W CHARLESTON BLVD

LAS VEGAS
United States of America (USA)
89102

More information about CELEBRITY HOMECARE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CELEBRITY HOMECARE, 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 2020-01-01 DAVID BUSTAN 2021-07-16
001 2020-01-01 DAVID BUSTAN 2021-07-29
001 2019-01-01 DAVID BUSTAN 2020-07-28
001 2019-01-01 DAVID BUSTAN 2021-07-29
001 2018-01-01 DAVID BUSTAN 2019-05-16
001 2017-01-01 DAVID BUSTAN 2018-05-11
001 2016-01-01 DAVID BUSTAN 2017-05-31
001 2015-01-01 DAVID BUSTAN 2016-06-01
001 2014-01-01 DAVID BUSTAN 2015-07-15
001 2013-01-01 DAVID BUSTAN 2014-06-16
001 2012-01-01 DAVID BUSTAN 2013-09-04
001 2011-01-01 DAVID BUSTAN 2012-10-05
001 2010-01-01 DAVID BUSTAN 2011-09-19

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2020-01-01	DAVID BUSTAN	2021-07-16
001	2020-01-01	DAVID BUSTAN	2021-07-29
001	2019-01-01	DAVID BUSTAN	2020-07-28
001	2019-01-01	DAVID BUSTAN	2021-07-29
001	2018-01-01	DAVID BUSTAN	2019-05-16
001	2017-01-01	DAVID BUSTAN	2018-05-11
001	2016-01-01	DAVID BUSTAN	2017-05-31
001	2015-01-01	DAVID BUSTAN	2016-06-01
001	2014-01-01	DAVID BUSTAN	2015-07-15
001	2013-01-01	DAVID BUSTAN	2014-06-16
001	2012-01-01	DAVID BUSTAN	2013-09-04
001	2011-01-01	DAVID BUSTAN	2012-10-05
001	2010-01-01	DAVID BUSTAN	2011-09-19

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Company Name:	CELEBRITY HOMECARE, INC.
Employer identification number (EIN):	954302457
NAIC Classification:	621610
NAIC Description:	Home Health Care Services

Jurisdiction of Incorporation:	Nevada Department of State
Incorporation Date:	2005-03-18
Company Identification Number:	20051054909
Legal Registered Office Address:	2511 W CHARLESTON BLVD LAS VEGAS United States of America (USA) 89102