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CAPSTONE SERVICES, LLC 401(K) PLAN 401k Plan overview

Plan NameCAPSTONE SERVICES, LLC 401(K) PLAN
Plan identification number 001

CAPSTONE SERVICES, LLC 401(K) PLAN Benefits

401k Plan TypeDefined 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.
  • Plan covering Self-Employed individuals.
  • 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.
  • Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CAPSTONE SERVICES, LLC has sponsored the creation of one or more 401k plans.

Company Name:CAPSTONE SERVICES, LLC
Employer identification number (EIN):204038067
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about CAPSTONE SERVICES, LLC

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 2011-02-16
Company Identification Number: 1998308
Legal Registered Office Address: 8181 DESOTO DRIVE
E9
WEST CHESTER
United States of America (USA)
45069

More information about CAPSTONE SERVICES, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAPSTONE SERVICES, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012014-01-01ROBERT HAFDAHL ROBERT HAFDAHL2015-10-01
0012013-01-01ROBERT HAFDAHL ROBERT HAFDAHL2014-10-10
0012012-01-01ROBERT HAFDAHL2013-05-22 ROBERT HAFDAHL2013-05-22
0012011-01-01ROBERT HAFDAHL2012-05-18
0012010-01-01BROOKE WOLFORD2011-10-06
0012006-01-01BROOKE WOLFORD

Financial Data on CAPSTONE SERVICES, LLC 401(K) PLAN

Measure Date Value
2014 : CAPSTONE SERVICES, LLC 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-30$0
Total transfer of assets to this plan2014-12-30$0
Total transfer of assets from this plan2014-12-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-30$0
Total income from all sources (including contributions)2014-12-30$154,349
Total loss/gain on sale of assets2014-12-30$0
Total of all expenses incurred2014-12-30$1,127,467
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-30$1,120,225
Expenses. Certain deemed distributions of participant loans2014-12-30$5,533
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-30$87,025
Value of total assets at end of year2014-12-30$0
Value of total assets at beginning of year2014-12-30$973,118
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-30$1,709
Total interest from all sources2014-12-30$67,324
Total dividends received (eg from common stock, registered investment company shares)2014-12-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-30Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2014-12-30$0
Was this plan covered by a fidelity bond2014-12-30Yes
Value of fidelity bond cover2014-12-30$1,000,000
If this is an individual account plan, was there a blackout period2014-12-30No
Were there any nonexempt tranactions with any party-in-interest2014-12-30No
Contributions received from participants2014-12-30$59,363
Participant contributions at end of year2014-12-30$0
Participant contributions at beginning of year2014-12-30$2,274
Participant contributions at end of year2014-12-30$0
Participant contributions at beginning of year2014-12-30$4,652
Income. Received or receivable in cash from other sources (including rollovers)2014-12-30$2,722
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-30No
Value of net income/loss2014-12-30$-973,118
Value of net assets at end of year (total assets less liabilities)2014-12-30$0
Value of net assets at beginning of year (total assets less liabilities)2014-12-30$973,118
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-30No
Were any leases to which the plan was party in default or uncollectible2014-12-30No
Investment advisory and management fees2014-12-30$1,709
Value of interest in pooled separate accounts at end of year2014-12-30$0
Value of interest in pooled separate accounts at beginning of year2014-12-30$893,887
Income. Interest from loans (other than to participants)2014-12-30$213
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-30$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-30$71,989
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-30$71,989
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-30$67,111
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-30No
Was there a failure to transmit to the plan any participant contributions2014-12-30Yes
Has the plan failed to provide any benefit when due under the plan2014-12-30No
Contributions received in cash from employer2014-12-30$24,940
Employer contributions (assets) at end of year2014-12-30$0
Employer contributions (assets) at beginning of year2014-12-30$316
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-30$1,120,225
Did the plan have assets held for investment2014-12-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-30Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-30Yes
Opinion of an independent qualified public accountant for this plan2014-12-30Disclaimer
Accountancy firm name2014-12-30MADSEN, OMEARA AND COMPANY
Accountancy firm EIN2014-12-30562377597
2013 : CAPSTONE SERVICES, LLC 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$247,703
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$39,572
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$39,572
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$85,265
Value of total assets at end of year2013-12-31$973,118
Value of total assets at beginning of year2013-12-31$764,987
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$0
Total interest from all sources2013-12-31$162,438
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$54,672
Participant contributions at end of year2013-12-31$2,274
Participant contributions at beginning of year2013-12-31$9,108
Participant contributions at end of year2013-12-31$4,652
Participant contributions at beginning of year2013-12-31$209
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$208,131
Value of net assets at end of year (total assets less liabilities)2013-12-31$973,118
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$764,987
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in pooled separate accounts at end of year2013-12-31$893,887
Value of interest in pooled separate accounts at beginning of year2013-12-31$697,014
Interest on participant loans2013-12-31$168
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$71,989
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$58,656
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$58,656
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$162,270
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$30,593
Employer contributions (assets) at end of year2013-12-31$316
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$39,572
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31MADSEN, OMEARA AND COMPANY
Accountancy firm EIN2013-12-31562377597

Form 5500 Responses for CAPSTONE SERVICES, LLC 401(K) PLAN

2014: CAPSTONE SERVICES, LLC 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingYes
2014-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CAPSTONE SERVICES, LLC 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2006: CAPSTONE SERVICES, LLC 401(K) PLAN 2006 form 5500 responses
2006-01-01Type of plan entitySingle employer plan
2006-01-01Submission has been amendedNo
2006-01-01This submission is the final filingNo
2006-01-01This return/report is a short plan year return/report (less than 12 months)No
2006-01-01Plan is a collectively bargained planNo
2006-01-01Plan funding arrangement – TrustYes
2006-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number945941-01
Policy instance 1
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number945941-01
Policy instance 1

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