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BEAR CREEK SERVICES, INC. 401(K) PLAN 401k Plan overview

Plan NameBEAR CREEK SERVICES, INC. 401(K) PLAN
Plan identification number 003

BEAR CREEK SERVICES, INC. 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • 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

BEAR CREEK SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:BEAR CREEK SERVICES, INC.
Employer identification number (EIN):411390671
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BEAR CREEK SERVICES, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032022-01-01
0032021-01-01
0032020-01-01
0032019-01-01
0032018-01-01TODD DEVINE2019-07-18 LINDA DRIESSEN2019-07-18
0032017-01-01TODD DEVINE2018-05-22 LINDA DRIESSEN2018-05-22
0032016-07-01TODD DEVINE2017-07-21 LINDA DRIESSEN2017-07-21

Plan Statistics for BEAR CREEK SERVICES, INC. 401(K) PLAN

401k plan membership statisitcs for BEAR CREEK SERVICES, INC. 401(K) PLAN

Measure Date Value
2022: BEAR CREEK SERVICES, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0184
Total number of active participants reported on line 7a of the Form 55002022-01-0175
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-015
Total of all active and inactive participants2022-01-0180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0180
Number of participants with account balances2022-01-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: BEAR CREEK SERVICES, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0188
Total number of active participants reported on line 7a of the Form 55002021-01-0182
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-013
Total of all active and inactive participants2021-01-0185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0185
Number of participants with account balances2021-01-0135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-015
2020: BEAR CREEK SERVICES, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0182
Total number of active participants reported on line 7a of the Form 55002020-01-0181
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-013
Total of all active and inactive participants2020-01-0184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0184
Number of participants with account balances2020-01-0134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: BEAR CREEK SERVICES, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0187
Total number of active participants reported on line 7a of the Form 55002019-01-0179
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-015
Total of all active and inactive participants2019-01-0184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0184
Number of participants with account balances2019-01-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-012

Financial Data on BEAR CREEK SERVICES, INC. 401(K) PLAN

Measure Date Value
2022 : BEAR CREEK SERVICES, INC. 401(K) PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$8
Total plan liabilities at beginning of year2022-12-31$8
Total income from all sources2022-12-31$50,986
Expenses. Total of all expenses incurred2022-12-31$61,549
Benefits paid (including direct rollovers)2022-12-31$54,365
Total plan assets at end of year2022-12-31$488,308
Total plan assets at beginning of year2022-12-31$498,871
Value of fidelity bond covering the plan2022-12-31$25,000
Total contributions received or receivable from participants2022-12-31$109,597
Other income received2022-12-31$-73,105
Net income (gross income less expenses)2022-12-31$-10,563
Net plan assets at end of year (total assets less liabilities)2022-12-31$488,300
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$498,863
Assets. Value of participant loans2022-12-31$4,693
Total contributions received or receivable from employer(s)2022-12-31$14,494
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$7,184
2021 : BEAR CREEK SERVICES, INC. 401(K) PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$8
Total plan liabilities at beginning of year2021-12-31$412
Total income from all sources2021-12-31$165,950
Expenses. Total of all expenses incurred2021-12-31$14,673
Benefits paid (including direct rollovers)2021-12-31$8,557
Total plan assets at end of year2021-12-31$498,871
Total plan assets at beginning of year2021-12-31$347,998
Value of fidelity bond covering the plan2021-12-31$25,000
Total contributions received or receivable from participants2021-12-31$103,866
Other income received2021-12-31$48,278
Net income (gross income less expenses)2021-12-31$151,277
Net plan assets at end of year (total assets less liabilities)2021-12-31$498,863
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$347,586
Assets. Value of participant loans2021-12-31$13,860
Total contributions received or receivable from employer(s)2021-12-31$13,806
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$6,116
2020 : BEAR CREEK SERVICES, INC. 401(K) PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$412
Total plan liabilities at beginning of year2020-12-31$374
Total income from all sources2020-12-31$131,140
Expenses. Total of all expenses incurred2020-12-31$54,668
Benefits paid (including direct rollovers)2020-12-31$48,212
Total plan assets at end of year2020-12-31$347,998
Total plan assets at beginning of year2020-12-31$271,488
Value of fidelity bond covering the plan2020-12-31$25,000
Total contributions received or receivable from participants2020-12-31$78,896
Other income received2020-12-31$39,459
Net income (gross income less expenses)2020-12-31$76,472
Net plan assets at end of year (total assets less liabilities)2020-12-31$347,586
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$271,114
Assets. Value of participant loans2020-12-31$18,487
Total contributions received or receivable from employer(s)2020-12-31$12,785
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$6,456
2019 : BEAR CREEK SERVICES, INC. 401(K) PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$374
Total plan liabilities at beginning of year2019-12-31$373
Total income from all sources2019-12-31$123,732
Expenses. Total of all expenses incurred2019-12-31$116,823
Benefits paid (including direct rollovers)2019-12-31$110,758
Total plan assets at end of year2019-12-31$271,488
Total plan assets at beginning of year2019-12-31$264,578
Value of fidelity bond covering the plan2019-12-31$25,000
Total contributions received or receivable from participants2019-12-31$74,791
Other income received2019-12-31$48,941
Net income (gross income less expenses)2019-12-31$6,909
Net plan assets at end of year (total assets less liabilities)2019-12-31$271,114
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$264,205
Assets. Value of participant loans2019-12-31$5,924
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$6,065

Form 5500 Responses for BEAR CREEK SERVICES, INC. 401(K) PLAN

2022: BEAR CREEK SERVICES, INC. 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: BEAR CREEK SERVICES, INC. 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: BEAR CREEK SERVICES, INC. 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: BEAR CREEK SERVICES, INC. 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberGA-63786
Policy instance 1
Insurance contract or identification numberGA-63786
Number of Individuals Covered7
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberGA-63786
Policy instance 1
Insurance contract or identification numberGA-63786
Number of Individuals Covered7
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberGA-63786
Policy instance 1
Insurance contract or identification numberGA-63786
Number of Individuals Covered8
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberGA-63786
Policy instance 1
Insurance contract or identification numberGA-63786
Number of Individuals Covered8
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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

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