401k Plan data: LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN plan

LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN
Plan identification number	501

LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

LA CASA DE DON PEDRO, INC. has sponsored the creation of one or more 401k plans.

Company Name: LA CASA DE DON PEDRO, INC.

Employer identification number (EIN): 223026145

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-07-01
501 2012-07-01 JOHN BURY
501 2011-07-01 JOHN BURY
501 2009-07-01 JOHN BURY
501 2009-07-01 JOHN BURY
501 2008-07-01 JOHN BURY
501 2007-07-01 JOHN BURY

Plan Statistics for LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN

401k plan membership statisitcs for LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN

Measure Date Value
2013: LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 156
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 167
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 0
Total of all active and inactive participants 2013-07-01 167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 167
Number of participants with account balances 2013-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 0
2012: LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 135
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 156
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 0
Total of all active and inactive participants 2012-07-01 156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 156
Number of participants with account balances 2012-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 0
2011: LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 139
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 135
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 135
2009: LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 157
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 174
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 174
2008: LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN 2008 401k membership
Total participants, beginning-of-year 2008-07-01 121
Total number of active participants reported on line 7a of the Form 5500 2008-07-01 157
Number of retired or separated participants receiving benefits 2008-07-01 0
Number of other retired or separated participants entitled to future benefits 2008-07-01 0
Total of all active and inactive participants 2008-07-01 157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2008-07-01 0
Total participants 2008-07-01 157
Number of participants with account balances 2008-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-07-01 0
2007: LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN 2007 401k membership
Total participants, beginning-of-year 2007-07-01 0
Total number of active participants reported on line 7a of the Form 5500 2007-07-01 121
Number of retired or separated participants receiving benefits 2007-07-01 0
Number of other retired or separated participants entitled to future benefits 2007-07-01 0
Total of all active and inactive participants 2007-07-01 121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2007-07-01 0
Total participants 2007-07-01 121

Measure	Date	Value
2013: LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	156
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	167
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	0
Total of all active and inactive participants	2013-07-01	167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	167
Number of participants with account balances	2013-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	0
2012: LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	135
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	156
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	0
Total of all active and inactive participants	2012-07-01	156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	156
Number of participants with account balances	2012-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0
2011: LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	139
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	135
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	135
2009: LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	157
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	174
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	174
2008: LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN 2008 401k membership
Total participants, beginning-of-year	2008-07-01	121
Total number of active participants reported on line 7a of the Form 5500	2008-07-01	157
Number of retired or separated participants receiving benefits	2008-07-01	0
Number of other retired or separated participants entitled to future benefits	2008-07-01	0
Total of all active and inactive participants	2008-07-01	157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-07-01	0
Total participants	2008-07-01	157
Number of participants with account balances	2008-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-07-01	0
2007: LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN 2007 401k membership
Total participants, beginning-of-year	2007-07-01	0
Total number of active participants reported on line 7a of the Form 5500	2007-07-01	121
Number of retired or separated participants receiving benefits	2007-07-01	0
Number of other retired or separated participants entitled to future benefits	2007-07-01	0
Total of all active and inactive participants	2007-07-01	121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2007-07-01	0
Total participants	2007-07-01	121

Form 5500 Responses for LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN

2013: LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2009: LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes
2008: LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN 2008 form 5500 responses
2008-07-01	Type of plan entity	Single employer plan
2008-07-01	Submission has been amended	No
2008-07-01	This submission is the final filing	No
2008-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-07-01	Plan is a collectively bargained plan	No
2008-07-01	Plan funding arrangement – Insurance	Yes
2008-07-01	Plan benefit arrangement – Insurance	Yes
2007: LA CASA DE DON PEDRO, INC. WELFARE BENEFIT PLAN 2007 form 5500 responses
2007-07-01	Type of plan entity	Single employer plan
2007-07-01	First time form 5500 has been submitted	Yes
2007-07-01	Submission has been amended	No
2007-07-01	This submission is the final filing	No
2007-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-07-01	Plan is a collectively bargained plan	No
2007-07-01	Plan funding arrangement – Insurance	Yes
2007-07-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	LA CASA DE DON PEDRO, INC.
Employer identification number (EIN):	223026145
NAIC Classification:	624100
NAIC Description:	Individual and Family Services

Plan id#	Filing Submission Date	Name of Administrator
501	2013-07-01
501	2012-07-01	JOHN BURY
501	2011-07-01	JOHN BURY
501	2009-07-01	JOHN BURY
501	2009-07-01	JOHN BURY
501	2008-07-01	JOHN BURY
501	2007-07-01	JOHN BURY