401k Plan data: CHICAGOLAND HOMECARE, INC. PROFIT SHARING PLAN plan

CHICAGOLAND HOMECARE, INC. PROFIT SHARING PLAN 401k Plan overview

Plan Name	CHICAGOLAND HOMECARE, INC. PROFIT SHARING PLAN
Plan identification number	001

CHICAGOLAND HOMECARE, INC. PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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

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

Company Name: CHICAGOLAND HOMECARE, INC.

Employer identification number (EIN): 273371032

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHICAGOLAND HOMECARE, INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-07-01 BRETT W. CHAVERIAT
001 2011-07-01 BRETT W. CHAVERIAT
001 2010-08-26 BRETT W. CHAVERIAT

Plan id#	Filing Submission Date	Name of Administrator
001	2012-07-01	BRETT W. CHAVERIAT
001	2011-07-01	BRETT W. CHAVERIAT
001	2010-08-26	BRETT W. CHAVERIAT

Plan Statistics for CHICAGOLAND HOMECARE, INC. PROFIT SHARING PLAN

401k plan membership statisitcs for CHICAGOLAND HOMECARE, INC. PROFIT SHARING PLAN

Measure Date Value
2012: CHICAGOLAND HOMECARE, INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 4
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 4
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 4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 4
Number of participants with account balances 2012-07-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 0
2011: CHICAGOLAND HOMECARE, INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 1
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 4
Total of all active and inactive participants 2011-07-01 4
Total participants 2011-07-01 4
Number of participants with account balances 2011-07-01 1
2010: CHICAGOLAND HOMECARE, INC. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-08-26 1
Total number of active participants reported on line 7a of the Form 5500 2010-08-26 1
Number of retired or separated participants receiving benefits 2010-08-26 0
Number of other retired or separated participants entitled to future benefits 2010-08-26 0
Total of all active and inactive participants 2010-08-26 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-08-26 0
Total participants 2010-08-26 1
Number of participants with account balances 2010-08-26 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-08-26 0

Measure	Date	Value
2012: CHICAGOLAND HOMECARE, INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	4
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	4
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	4
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	4
Number of participants with account balances	2012-07-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0
2011: CHICAGOLAND HOMECARE, INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	1
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	4
Total of all active and inactive participants	2011-07-01	4
Total participants	2011-07-01	4
Number of participants with account balances	2011-07-01	1
2010: CHICAGOLAND HOMECARE, INC. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-08-26	1
Total number of active participants reported on line 7a of the Form 5500	2010-08-26	1
Number of retired or separated participants receiving benefits	2010-08-26	0
Number of other retired or separated participants entitled to future benefits	2010-08-26	0
Total of all active and inactive participants	2010-08-26	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-08-26	0
Total participants	2010-08-26	1
Number of participants with account balances	2010-08-26	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-08-26	0

Financial Data on CHICAGOLAND HOMECARE, INC. PROFIT SHARING PLAN

Measure	Date	Value
2013 : CHICAGOLAND HOMECARE, INC. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-06-30	$90,294
Expenses. Total of all expenses incurred	2013-06-30	$0
Benefits paid (including direct rollovers)	2013-06-30	$0
Total plan assets at end of year	2013-06-30	$144,204
Total plan assets at beginning of year	2013-06-30	$53,910
Total contributions received or receivable from participants	2013-06-30	$0
Contributions received from other sources (not participants or employers)	2013-06-30	$0
Other income received	2013-06-30	$90,294
Net income (gross income less expenses)	2013-06-30	$90,294
Net plan assets at end of year (total assets less liabilities)	2013-06-30	$144,204
Net plan assets at beginning of year (total assets less liabilities)	2013-06-30	$53,910
Assets. Value of employer securities	2013-06-30	$144,204
Total contributions received or receivable from employer(s)	2013-06-30	$0
Value of certain deemed distributions of participant loans	2013-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-06-30	$0
2012 : CHICAGOLAND HOMECARE, INC. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-06-30	$-90,669
Expenses. Total of all expenses incurred	2012-06-30	$30
Total plan assets at end of year	2012-06-30	$53,910
Total plan assets at beginning of year	2012-06-30	$144,609
Contributions received from other sources (not participants or employers)	2012-06-30	$19,782
Other income received	2012-06-30	$-110,451
Net income (gross income less expenses)	2012-06-30	$-90,699
Net plan assets at end of year (total assets less liabilities)	2012-06-30	$53,910
Net plan assets at beginning of year (total assets less liabilities)	2012-06-30	$144,609
Assets. Value of employer securities	2012-06-30	$53,910
Expenses. Administrative service providers (salaries,fees and commissions)	2012-06-30	$30
2011 : CHICAGOLAND HOMECARE, INC. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-06-30	$144,609
Expenses. Total of all expenses incurred	2011-06-30	$0
Benefits paid (including direct rollovers)	2011-06-30	$0
Total plan assets at end of year	2011-06-30	$144,609
Total contributions received or receivable from participants	2011-06-30	$0
Contributions received from other sources (not participants or employers)	2011-06-30	$246,208
Other income received	2011-06-30	$-101,599
Net income (gross income less expenses)	2011-06-30	$144,609
Net plan assets at end of year (total assets less liabilities)	2011-06-30	$144,609
Assets. Value of employer securities	2011-06-30	$98,315
Total contributions received or receivable from employer(s)	2011-06-30	$0
Value of certain deemed distributions of participant loans	2011-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-06-30	$0

Form 5500 Responses for CHICAGOLAND HOMECARE, INC. PROFIT SHARING PLAN

2012: CHICAGOLAND HOMECARE, INC. PROFIT SHARING PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: CHICAGOLAND HOMECARE, INC. PROFIT SHARING PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2010: CHICAGOLAND HOMECARE, INC. PROFIT SHARING PLAN 2010 form 5500 responses
2010-08-26	Type of plan entity	Single employer plan
2010-08-26	First time form 5500 has been submitted	Yes
2010-08-26	This return/report is a short plan year return/report (less than 12 months)	Yes
2010-08-26	Plan funding arrangement – Trust	Yes
2010-08-26	Plan benefit arrangement - Trust	Yes

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Company Name:	CHICAGOLAND HOMECARE, INC.
Employer identification number (EIN):	273371032
NAIC Classification:	621610
NAIC Description:	Home Health Care Services