401k Plan data: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN plan

ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 401k Plan overview

Plan Name	ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN
Plan identification number	001

ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
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

ANGEL BRIGHT HOME HEALTH, INC. has sponsored the creation of one or more 401k plans.

Company Name: ANGEL BRIGHT HOME HEALTH, INC.

Employer identification number (EIN): 383672737

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANGEL BRIGHT HOME HEALTH, INC. 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 2018-01-01 KRYSTLE GONZALEZ
001 2017-01-01 BLANCH FERNANDEZ
001 2016-01-01 BLANCH FERNANDEZ
001 2015-01-01 BLANCH FERNANDEZ
001 2014-01-01 BLANCH FERNANDEZ
001 2013-01-01 BLANCH FERNANDEZ
001 2012-01-01 BLANCH FERNANDEZ
001 2011-01-01 BLANCH FERNANDEZ 2012-09-20
001 2010-01-01 BLANCH FERNANDEZ 2011-09-27

Plan Statistics for ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN

401k plan membership statisitcs for ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN

Measure Date Value
2022: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 457
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 457
Number of retired or separated participants receiving benefits 2022-01-01 1
Number of other retired or separated participants entitled to future benefits 2022-01-01 7
Total of all active and inactive participants 2022-01-01 465
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 1
Total participants 2022-01-01 466
Number of participants with account balances 2022-01-01 83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 453
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 372
Number of retired or separated participants receiving benefits 2021-01-01 2
Number of other retired or separated participants entitled to future benefits 2021-01-01 14
Total of all active and inactive participants 2021-01-01 388
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 1
Total participants 2021-01-01 389
Number of participants with account balances 2021-01-01 91
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 6
2020: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 522
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 520
Number of retired or separated participants receiving benefits 2020-01-01 1
Number of other retired or separated participants entitled to future benefits 2020-01-01 11
Total of all active and inactive participants 2020-01-01 532
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 532
Number of participants with account balances 2020-01-01 101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 8
2019: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 513
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 428
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 10
Total of all active and inactive participants 2019-01-01 438
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 438
Number of participants with account balances 2019-01-01 101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 5
2018: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 584
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 449
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 26
Total of all active and inactive participants 2018-01-01 475
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 475
Number of participants with account balances 2018-01-01 124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 11
2017: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 577
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 428
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 26
Total of all active and inactive participants 2017-01-01 454
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 454
Number of participants with account balances 2017-01-01 129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 14
2016: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 646
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 507
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 37
Total of all active and inactive participants 2016-01-01 544
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 544
Number of participants with account balances 2016-01-01 173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 21
2015: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 659
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 550
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 53
Total of all active and inactive participants 2015-01-01 603
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 603
Number of participants with account balances 2015-01-01 220
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 45
2014: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 422
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 413
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 64
Total of all active and inactive participants 2014-01-01 477
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 477
Number of participants with account balances 2014-01-01 276
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 66
2013: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 313
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 316
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 7
Total of all active and inactive participants 2013-01-01 323
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 323
Number of participants with account balances 2013-01-01 323
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 5
2012: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 175
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 151
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 3
Total of all active and inactive participants 2012-01-01 154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 154
Number of participants with account balances 2012-01-01 30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1

Measure	Date	Value
2022: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	457
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	457
Number of retired or separated participants receiving benefits	2022-01-01	1
Number of other retired or separated participants entitled to future benefits	2022-01-01	7
Total of all active and inactive participants	2022-01-01	465
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	1
Total participants	2022-01-01	466
Number of participants with account balances	2022-01-01	83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	453
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	372
Number of retired or separated participants receiving benefits	2021-01-01	2
Number of other retired or separated participants entitled to future benefits	2021-01-01	14
Total of all active and inactive participants	2021-01-01	388
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	1
Total participants	2021-01-01	389
Number of participants with account balances	2021-01-01	91
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	6
2020: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	522
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	520
Number of retired or separated participants receiving benefits	2020-01-01	1
Number of other retired or separated participants entitled to future benefits	2020-01-01	11
Total of all active and inactive participants	2020-01-01	532
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	532
Number of participants with account balances	2020-01-01	101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	8
2019: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	513
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	428
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	10
Total of all active and inactive participants	2019-01-01	438
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	438
Number of participants with account balances	2019-01-01	101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	5
2018: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	584
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	449
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	26
Total of all active and inactive participants	2018-01-01	475
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	475
Number of participants with account balances	2018-01-01	124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	11
2017: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	577
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	428
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	26
Total of all active and inactive participants	2017-01-01	454
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	454
Number of participants with account balances	2017-01-01	129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	14
2016: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	646
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	507
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	37
Total of all active and inactive participants	2016-01-01	544
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	544
Number of participants with account balances	2016-01-01	173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	21
2015: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	659
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	550
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	53
Total of all active and inactive participants	2015-01-01	603
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	603
Number of participants with account balances	2015-01-01	220
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	45
2014: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	422
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	413
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	64
Total of all active and inactive participants	2014-01-01	477
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	477
Number of participants with account balances	2014-01-01	276
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	66
2013: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	313
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	316
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	7
Total of all active and inactive participants	2013-01-01	323
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	323
Number of participants with account balances	2013-01-01	323
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	5
2012: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	175
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	151
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	3
Total of all active and inactive participants	2012-01-01	154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	154
Number of participants with account balances	2012-01-01	30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1

Financial Data on ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN

Measure	Date	Value
2022 : ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$1,110
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$1,026
Total income from all sources (including contributions)	2022-12-31	$-112,551
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$241,373
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$208,663
Expenses. Certain deemed distributions of participant loans	2022-12-31	$30,435
Value of total corrective distributions	2022-12-31	$1,110
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$97,589
Value of total assets at end of year	2022-12-31	$1,006,996
Value of total assets at beginning of year	2022-12-31	$1,360,836
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$1,165
Total interest from all sources	2022-12-31	$4,149
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$250,000
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	$82,386
Participant contributions at end of year	2022-12-31	$49,348
Participant contributions at beginning of year	2022-12-31	$95,506
Participant contributions at end of year	2022-12-31	$2,506
Participant contributions at beginning of year	2022-12-31	$2,762
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$1,122
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$1,110
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$1,026
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	$-353,924
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$1,005,886
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$1,359,810
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
Investment advisory and management fees	2022-12-31	$1,165
Value of interest in pooled separate accounts at end of year	2022-12-31	$858,183
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$1,006,433
Interest on participant loans	2022-12-31	$4,149
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$96,354
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$255,784
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-214,289
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	$14,081
Employer contributions (assets) at end of year	2022-12-31	$605
Employer contributions (assets) at beginning of year	2022-12-31	$351
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$208,663
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	GF VALDEZ, P.C.
Accountancy firm EIN	2022-12-31	200842060
2021 : ANGEL BRIGHT HOME HEALTH, INC. 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	$1,026
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$916
Total income from all sources (including contributions)	2021-12-31	$228,366
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$58,019
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$54,830
Value of total corrective distributions	2021-12-31	$1,026
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$130,040
Value of total assets at end of year	2021-12-31	$1,360,836
Value of total assets at beginning of year	2021-12-31	$1,190,379
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$2,163
Total interest from all sources	2021-12-31	$1,075
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$250,000
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	$106,581
Participant contributions at end of year	2021-12-31	$95,506
Participant contributions at beginning of year	2021-12-31	$38,730
Participant contributions at end of year	2021-12-31	$2,762
Participant contributions at beginning of year	2021-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$1,132
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$1,026
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$916
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	$170,347
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$1,359,810
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$1,189,463
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
Investment advisory and management fees	2021-12-31	$2,163
Value of interest in pooled separate accounts at end of year	2021-12-31	$1,006,433
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$928,960
Interest on participant loans	2021-12-31	$1,075
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$255,784
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$222,689
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$97,251
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	$22,327
Employer contributions (assets) at end of year	2021-12-31	$351
Employer contributions (assets) at beginning of year	2021-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$54,830
Liabilities. Value of benefit claims payable at end of year	2021-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2021-12-31	$0
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	GF VALDEZ, P.C.
Accountancy firm EIN	2021-12-31	200842060
2020 : ANGEL BRIGHT HOME HEALTH, INC. 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	$916
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$4,307
Total income from all sources (including contributions)	2020-12-31	$284,186
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$67,494
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$64,324
Value of total corrective distributions	2020-12-31	$916
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$138,293
Value of total assets at end of year	2020-12-31	$1,190,379
Value of total assets at beginning of year	2020-12-31	$977,078
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$2,254
Total interest from all sources	2020-12-31	$1,114
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$100,000
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	$116,973
Participant contributions at end of year	2020-12-31	$38,730
Participant contributions at beginning of year	2020-12-31	$24,072
Participant contributions at end of year	2020-12-31	$0
Participant contributions at beginning of year	2020-12-31	$108
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$916
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$976
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	$216,692
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$1,189,463
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$972,771
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 pooled separate accounts at end of year	2020-12-31	$928,960
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$757,384
Interest on participant loans	2020-12-31	$1,114
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$222,689
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$195,472
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$144,779
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	No
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	$21,320
Employer contributions (assets) at end of year	2020-12-31	$0
Employer contributions (assets) at beginning of year	2020-12-31	$42
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$64,324
Contract administrator fees	2020-12-31	$2,254
Liabilities. Value of benefit claims payable at end of year	2020-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2020-12-31	$3,331
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	Unqualified
Accountancy firm name	2020-12-31	GF VALDEZ, P.C.
Accountancy firm EIN	2020-12-31	200842060
2019 : ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$4,307
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$14,415
Total income from all sources (including contributions)	2019-12-31	$274,766
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$65,864
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$60,958
Value of total corrective distributions	2019-12-31	$976
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$148,858
Value of total assets at end of year	2019-12-31	$977,078
Value of total assets at beginning of year	2019-12-31	$778,284
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$3,930
Total interest from all sources	2019-12-31	$632
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$100,000
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	$121,889
Participant contributions at end of year	2019-12-31	$24,072
Participant contributions at beginning of year	2019-12-31	$6,649
Participant contributions at end of year	2019-12-31	$108
Participant contributions at beginning of year	2019-12-31	$2,483
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$976
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$1,277
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	$208,902
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$972,771
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$763,869
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 pooled separate accounts at end of year	2019-12-31	$757,384
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$611,034
Interest on participant loans	2019-12-31	$632
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$195,472
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$157,754
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$125,276
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
Contributions received in cash from employer	2019-12-31	$26,969
Employer contributions (assets) at end of year	2019-12-31	$42
Employer contributions (assets) at beginning of year	2019-12-31	$364
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$60,958
Contract administrator fees	2019-12-31	$3,930
Liabilities. Value of benefit claims payable at end of year	2019-12-31	$3,331
Liabilities. Value of benefit claims payable at beginning of year	2019-12-31	$13,138
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	GF VALDEZ, P.C.
Accountancy firm EIN	2019-12-31	200842060
2018 : ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$14,415
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$13,909
Total income from all sources (including contributions)	2018-12-31	$74,988
Total of all expenses incurred	2018-12-31	$195,682
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$188,323
Value of total corrective distributions	2018-12-31	$1,277
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$108,053
Value of total assets at end of year	2018-12-31	$778,284
Value of total assets at beginning of year	2018-12-31	$898,472
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$6,082
Total interest from all sources	2018-12-31	$400
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$100,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$95,099
Participant contributions at end of year	2018-12-31	$6,649
Participant contributions at beginning of year	2018-12-31	$10,278
Participant contributions at end of year	2018-12-31	$2,483
Participant contributions at beginning of year	2018-12-31	$132
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$1,277
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$4,617
Administrative expenses (other) incurred	2018-12-31	$1,306
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	$-120,694
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$763,869
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$884,563
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
Investment advisory and management fees	2018-12-31	$4,433
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$611,034
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$800,144
Interest on participant loans	2018-12-31	$400
Assets. Value of investments in 103.12 investment entities at end of year	2018-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$157,754
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$87,871
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-33,465
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	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$12,954
Employer contributions (assets) at end of year	2018-12-31	$364
Employer contributions (assets) at beginning of year	2018-12-31	$47
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$188,323
Contract administrator fees	2018-12-31	$343
Liabilities. Value of benefit claims payable at end of year	2018-12-31	$13,138
Liabilities. Value of benefit claims payable at beginning of year	2018-12-31	$9,292
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	GF VALDEZ, P.C.
Accountancy firm EIN	2018-12-31	200842060
2017 : ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$13,909
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$24,565
Total income from all sources (including contributions)	2017-12-31	$186,400
Total of all expenses incurred	2017-12-31	$50,219
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$37,462
Value of total corrective distributions	2017-12-31	$4,617
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$83,271
Value of total assets at end of year	2017-12-31	$898,472
Value of total assets at beginning of year	2017-12-31	$772,947
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$8,140
Total interest from all sources	2017-12-31	$357
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$100,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$83,063
Participant contributions at end of year	2017-12-31	$10,278
Participant contributions at beginning of year	2017-12-31	$3,476
Participant contributions at end of year	2017-12-31	$132
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$4,617
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$5,934
Administrative expenses (other) incurred	2017-12-31	$2,504
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$136,181
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$884,563
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$748,382
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$5,124
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$800,144
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$674,970
Interest on participant loans	2017-12-31	$357
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$87,871
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$94,501
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$102,772
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$208
Employer contributions (assets) at end of year	2017-12-31	$47
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$37,462
Contract administrator fees	2017-12-31	$512
Liabilities. Value of benefit claims payable at end of year	2017-12-31	$9,292
Liabilities. Value of benefit claims payable at beginning of year	2017-12-31	$18,631
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	GF VALDEZ, P.C.
Accountancy firm EIN	2017-12-31	200842060
2016 : ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$24,565
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$27,891
Total income from all sources (including contributions)	2016-12-31	$134,047
Total of all expenses incurred	2016-12-31	$75,802
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$63,397
Value of total corrective distributions	2016-12-31	$5,934
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$80,542
Value of total assets at end of year	2016-12-31	$772,947
Value of total assets at beginning of year	2016-12-31	$718,028
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$6,471
Total interest from all sources	2016-12-31	$228
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$100,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$80,542
Participant contributions at end of year	2016-12-31	$3,476
Participant contributions at beginning of year	2016-12-31	$2,198
Participant contributions at beginning of year	2016-12-31	$464
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$5,934
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$5,207
Administrative expenses (other) incurred	2016-12-31	$2,509
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$58,245
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$748,382
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$690,137
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$3,602
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$674,970
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$631,060
Interest on participant loans	2016-12-31	$228
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$94,501
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$84,245
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$53,277
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$61
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$63,397
Contract administrator fees	2016-12-31	$360
Liabilities. Value of benefit claims payable at end of year	2016-12-31	$18,631
Liabilities. Value of benefit claims payable at beginning of year	2016-12-31	$22,684
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Liabilities. Value of acquisition indebtedness at beginning of year	2016-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	GF VALDEZ, P.C.
Accountancy firm EIN	2016-12-31	200842060
2015 : ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$27,891
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$43,108
Total income from all sources (including contributions)	2015-12-31	$56,611
Total of all expenses incurred	2015-12-31	$83,137
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$70,915
Value of total corrective distributions	2015-12-31	$5,207
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$66,187
Value of total assets at end of year	2015-12-31	$718,028
Value of total assets at beginning of year	2015-12-31	$759,771
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$7,015
Total interest from all sources	2015-12-31	$294
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$100,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$66,187
Participant contributions at end of year	2015-12-31	$2,198
Participant contributions at beginning of year	2015-12-31	$7,475
Participant contributions at end of year	2015-12-31	$464
Participant contributions at beginning of year	2015-12-31	$5,052
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$5,207
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$21,190
Administrative expenses (other) incurred	2015-12-31	$2,941
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-26,526
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$690,137
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$716,663
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$3,704
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$631,060
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$676,510
Interest on participant loans	2015-12-31	$294
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$84,245
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$69,423
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-9,870
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$0
Employer contributions (assets) at end of year	2015-12-31	$61
Employer contributions (assets) at beginning of year	2015-12-31	$1,311
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$70,915
Contract administrator fees	2015-12-31	$370
Liabilities. Value of benefit claims payable at end of year	2015-12-31	$22,684
Liabilities. Value of benefit claims payable at beginning of year	2015-12-31	$21,918
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Liabilities. Value of acquisition indebtedness at end of year	2015-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	GF VALDEZ, P.C.
Accountancy firm EIN	2015-12-31	200842060
2014 : ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$43,108
Total income from all sources (including contributions)	2014-12-31	$148,461
Total of all expenses incurred	2014-12-31	$107,055
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$46,838
Value of total corrective distributions	2014-12-31	$56,196
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$131,752
Value of total assets at end of year	2014-12-31	$759,771
Value of total assets at beginning of year	2014-12-31	$675,257
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$4,021
Total interest from all sources	2014-12-31	$257
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$100,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$96,029
Participant contributions at end of year	2014-12-31	$7,475
Participant contributions at beginning of year	2014-12-31	$7,751
Participant contributions at end of year	2014-12-31	$5,052
Participant contributions at beginning of year	2014-12-31	$675
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$12,689
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$21,190
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$41,406
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$716,663
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$675,257
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$2,691
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$676,510
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$468,567
Interest on participant loans	2014-12-31	$257
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$69,423
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$56,915
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$16,452
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$23,034
Employer contributions (assets) at end of year	2014-12-31	$1,311
Employer contributions (assets) at beginning of year	2014-12-31	$141,349
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$46,838
Contract administrator fees	2014-12-31	$1,330
Liabilities. Value of benefit claims payable at end of year	2014-12-31	$21,918
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	GF VALDEZ, P.C.
Accountancy firm EIN	2014-12-31	200842060
2013 : ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$327,588
Total of all expenses incurred	2013-12-31	$63,659
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$35,380
Value of total corrective distributions	2013-12-31	$25,845
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$257,378
Value of total assets at end of year	2013-12-31	$675,257
Value of total assets at beginning of year	2013-12-31	$411,328
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$2,434
Total interest from all sources	2013-12-31	$318
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$100,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$102,213
Participant contributions at end of year	2013-12-31	$7,751
Participant contributions at beginning of year	2013-12-31	$8,136
Participant contributions at end of year	2013-12-31	$675
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$263,929
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$675,257
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$411,328
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$2,053
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$468,567
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$347,299
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$318
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$56,915
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$55,893
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$69,892
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$155,165
Employer contributions (assets) at end of year	2013-12-31	$141,349
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$35,380
Contract administrator fees	2013-12-31	$381
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	RAUL HERNANDEZ & COMPANY, P.C.
Accountancy firm EIN	2013-12-31	263277832
2012 : ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$134,786
Total of all expenses incurred	2012-12-31	$11,270
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$7,299
Value of total corrective distributions	2012-12-31	$1,845
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$96,224
Value of total assets at end of year	2012-12-31	$411,328
Value of total assets at beginning of year	2012-12-31	$287,812
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$2,126
Total interest from all sources	2012-12-31	$567
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$50,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$66,931
Participant contributions at end of year	2012-12-31	$8,136
Participant contributions at beginning of year	2012-12-31	$9,427
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$16,766
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$123,516
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$411,328
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$287,812
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$1,590
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$347,299
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$278,385
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$567
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$55,893
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$37,995
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$12,527
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$7,299
Contract administrator fees	2012-12-31	$536
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	RAUL HERNANDEZ & COMPANY, P.C.
Accountancy firm EIN	2012-12-31	263277832

Form 5500 Responses for ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN

2022: ANGEL BRIGHT HOME HEALTH, INC. 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 – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: ANGEL BRIGHT HOME HEALTH, INC. 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 – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: ANGEL BRIGHT HOME HEALTH, INC. 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 – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: ANGEL BRIGHT HOME HEALTH, INC. 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 – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: ANGEL BRIGHT HOME HEALTH, INC. 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-801862

Policy instance

Insurance contract or identification number	GA-801862
Number of Individuals Covered	83
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $5,462
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,462
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-801862

Policy instance

Insurance contract or identification number	GA-801862
Number of Individuals Covered	92
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $5,987
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,987
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-801862

Policy instance

Insurance contract or identification number	GA-801862
Number of Individuals Covered	101
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $4,774
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,774
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-801862

Policy instance

Insurance contract or identification number	GA-801862
Number of Individuals Covered	101
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $3,240
Total amount of fees paid to insurance company	USD $313
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,240
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-801862

Policy instance

Insurance contract or identification number	GA-801862
Number of Individuals Covered	124
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $4,433
Total amount of fees paid to insurance company	USD $343
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,433
Additional information about fees paid to insurance broker	COMMISSIONAS
Insurance broker organization code?	3
Amount paid for insurance broker fees	343

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-801862

Policy instance

Insurance contract or identification number	GA-801862
Number of Individuals Covered	129
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $5,124
Total amount of fees paid to insurance company	USD $512
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,124
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3
Amount paid for insurance broker fees	512
Insurance broker name	SOUTH TEXAS ADMINISTRATORS INC

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-801862

Policy instance

Insurance contract or identification number	GA-801862
Number of Individuals Covered	220
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $3,704
Total amount of fees paid to insurance company	USD $370
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,704
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3
Amount paid for insurance broker fees	370
Insurance broker name	SOUTH TEXAS ADMINISTRATORS INC

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-801862

Policy instance

Insurance contract or identification number	GA-801862
Number of Individuals Covered	276
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $2,691
Total amount of fees paid to insurance company	USD $269
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,691
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3
Amount paid for insurance broker fees	269
Insurance broker name	SOUTH TEXAS ADMINISTRATORS INC

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-801862

Policy instance

Insurance contract or identification number	GA-801862
Number of Individuals Covered	323
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $2,053
Total amount of fees paid to insurance company	USD $205
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,053
Insurance broker organization code?	3
Amount paid for insurance broker fees	205
Additional information about fees paid to insurance broker	ADMINISTRATIVE ALLOWANCE
Insurance broker name	SOUTH TEXAS ADMINISTRATORS INC

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA-801862

Policy instance

Insurance contract or identification number	GA-801862
Number of Individuals Covered	30
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $1,590
Total amount of fees paid to insurance company	USD $159
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,590
Insurance broker organization code?	3
Amount paid for insurance broker fees	85
Additional information about fees paid to insurance broker	ADMINISTRATIVE ALLOWANCE
Insurance broker name	BENEFIT SYSTEMS INC

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Company Name:	ANGEL BRIGHT HOME HEALTH, INC.
Employer identification number (EIN):	383672737
NAIC Classification:	621610
NAIC Description:	Home Health Care Services