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PHOENIX HOME CARE SERVICE, INC. CAFETERIA PLAN 401k Plan overview

Plan NamePHOENIX HOME CARE SERVICE, INC. CAFETERIA PLAN
Plan identification number 501

PHOENIX HOME CARE SERVICE, INC. CAFETERIA PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Other welfare benefit cover

401k Sponsoring company profile

PHOENIX HOME CARE SERVICE, INC. has sponsored the creation of one or more 401k plans.

Company Name:PHOENIX HOME CARE SERVICE, INC.
Employer identification number (EIN):752548769
NAIC Classification:621610
NAIC Description:Home Health Care Services

Additional information about PHOENIX HOME CARE SERVICE, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1994-07-06
Company Identification Number: 0131868500
Legal Registered Office Address: PO BOX 64232

LUBBOCK
United States of America (USA)
79464

More information about PHOENIX HOME CARE SERVICE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PHOENIX HOME CARE SERVICE, INC. CAFETERIA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012012-01-01ANNETTE SCARBOROUGH ANNETTE SCARBOROUGH2013-10-10

Plan Statistics for PHOENIX HOME CARE SERVICE, INC. CAFETERIA PLAN

401k plan membership statisitcs for PHOENIX HOME CARE SERVICE, INC. CAFETERIA PLAN

Measure Date Value
2012: PHOENIX HOME CARE SERVICE, INC. CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-016
Total number of active participants reported on line 7a of the Form 55002012-01-014
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-014

Financial Data on PHOENIX HOME CARE SERVICE, INC. CAFETERIA PLAN

Measure Date Value
2011 : PHOENIX HOME CARE SERVICE, INC. CAFETERIA PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$32,968
Total of all expenses incurred2011-12-31$32,968
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$32,968
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$32,968
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$32,968
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$32,968
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No

Form 5500 Responses for PHOENIX HOME CARE SERVICE, INC. CAFETERIA PLAN

2012: PHOENIX HOME CARE SERVICE, INC. CAFETERIA PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes

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