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DHC FAITH, LLC 401(K) PLAN 401k Plan overview

Plan NameDHC FAITH, LLC 401(K) PLAN
Plan identification number 001

DHC FAITH, LLC 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

DHC FAITH, LLC has sponsored the creation of one or more 401k plans.

Company Name:DHC FAITH, LLC
Employer identification number (EIN):812853652
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DHC FAITH, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-01-01
0012018-01-01
0012017-01-01WAYNE ADDISON WAYNE ADDISON2018-10-11
0012016-07-08WAYNE ADDISON WAYNE ADDISON2017-10-11

Plan Statistics for DHC FAITH, LLC 401(K) PLAN

401k plan membership statisitcs for DHC FAITH, LLC 401(K) PLAN

Measure Date Value
2019: DHC FAITH, LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01141
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-010
Number of participants with account balances2019-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: DHC FAITH, LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01105
Total number of active participants reported on line 7a of the Form 55002018-01-01111
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0127
Total of all active and inactive participants2018-01-01138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01138
Number of participants with account balances2018-01-0166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: DHC FAITH, LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01106
Total number of active participants reported on line 7a of the Form 55002017-01-0166
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0131
Total of all active and inactive participants2017-01-0197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0197
Number of participants with account balances2017-01-0159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: DHC FAITH, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-08130
Total number of active participants reported on line 7a of the Form 55002016-07-0898
Number of retired or separated participants receiving benefits2016-07-080
Number of other retired or separated participants entitled to future benefits2016-07-0812
Total of all active and inactive participants2016-07-08110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-080
Total participants2016-07-08110
Number of participants with account balances2016-07-0855
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-080

Financial Data on DHC FAITH, LLC 401(K) PLAN

Measure Date Value
2019 : DHC FAITH, LLC 401(K) PLAN 2019 401k financial data
Total transfer of assets from this plan2019-12-18$399,250
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-18$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-18$245
Total income from all sources (including contributions)2019-12-18$58,676
Total of all expenses incurred2019-12-18$18,440
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-18$17,858
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-18$917
Value of total assets at end of year2019-12-18$0
Value of total assets at beginning of year2019-12-18$359,259
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-18$582
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-18Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2019-12-18$0
Was this plan covered by a fidelity bond2019-12-18Yes
Value of fidelity bond cover2019-12-18$1,000,000
If this is an individual account plan, was there a blackout period2019-12-18No
Were there any nonexempt tranactions with any party-in-interest2019-12-18No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-18$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-18$245
Administrative expenses (other) incurred2019-12-18$0
Total non interest bearing cash at end of year2019-12-18$0
Total non interest bearing cash at beginning of year2019-12-18$293
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-18No
Value of net income/loss2019-12-18$40,236
Value of net assets at end of year (total assets less liabilities)2019-12-18$0
Value of net assets at beginning of year (total assets less liabilities)2019-12-18$359,014
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-18No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-18No
Were any leases to which the plan was party in default or uncollectible2019-12-18No
Investment advisory and management fees2019-12-18$80
Value of interest in pooled separate accounts at end of year2019-12-18$0
Value of interest in pooled separate accounts at beginning of year2019-12-18$289,166
Net investment gain/loss from pooled separate accounts2019-12-18$57,759
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-18No
Was there a failure to transmit to the plan any participant contributions2019-12-18No
Has the plan failed to provide any benefit when due under the plan2019-12-18No
Contributions received in cash from employer2019-12-18$917
Employer contributions (assets) at end of year2019-12-18$0
Employer contributions (assets) at beginning of year2019-12-18$69,800
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-18$17,858
Contract administrator fees2019-12-18$502
Did the plan have assets held for investment2019-12-18Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-18No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-18Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-18Yes
Opinion of an independent qualified public accountant for this plan2019-12-18Disclaimer
Accountancy firm name2019-12-18WATKINS UIBERALL, PLLC
Accountancy firm EIN2019-12-18621804252
2018 : DHC FAITH, LLC 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$245
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$2,836
Total income from all sources (including contributions)2018-12-31$150,056
Total of all expenses incurred2018-12-31$24,802
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$24,677
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$175,300
Value of total assets at end of year2018-12-31$359,259
Value of total assets at beginning of year2018-12-31$236,596
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$125
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2018-12-31$0
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$97,884
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$7,271
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$245
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$2,836
Total non interest bearing cash at end of year2018-12-31$293
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$125,254
Value of net assets at end of year (total assets less liabilities)2018-12-31$359,014
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$233,760
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$289,166
Value of interest in pooled separate accounts at beginning of year2018-12-31$141,283
Net investment gain/loss from pooled separate accounts2018-12-31$-25,244
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$70,145
Employer contributions (assets) at end of year2018-12-31$69,800
Employer contributions (assets) at beginning of year2018-12-31$95,313
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$24,677
Contract administrator fees2018-12-31$125
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31WATKINS UIBERALL, PLLC
Accountancy firm EIN2018-12-31621804252
2017 : DHC FAITH, LLC 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$2,836
Total income from all sources (including contributions)2017-12-31$162,618
Total of all expenses incurred2017-12-31$7,758
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$7,508
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$150,519
Value of total assets at end of year2017-12-31$236,596
Value of total assets at beginning of year2017-12-31$78,900
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$250
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$125
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$74,557
Participant contributions at beginning of year2017-12-31$113
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$16,809
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$2,836
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$154,860
Value of net assets at end of year (total assets less liabilities)2017-12-31$233,760
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$78,900
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in pooled separate accounts at end of year2017-12-31$141,283
Value of interest in pooled separate accounts at beginning of year2017-12-31$42,627
Net investment gain/loss from pooled separate accounts2017-12-31$12,099
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$59,153
Employer contributions (assets) at end of year2017-12-31$95,313
Employer contributions (assets) at beginning of year2017-12-31$36,160
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$7,508
Contract administrator fees2017-12-31$125
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31WATKINS UIBERALL, PLLC
Accountancy firm EIN2017-12-31621804252
2016 : DHC FAITH, LLC 401(K) PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$78,900
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$78,588
Value of total assets at end of year2016-12-31$78,900
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$42,428
Participant contributions at end of year2016-12-31$113
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$78,900
Value of net assets at end of year (total assets less liabilities)2016-12-31$78,900
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in pooled separate accounts at end of year2016-12-31$42,627
Net investment gain/loss from pooled separate accounts2016-12-31$312
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$36,160
Employer contributions (assets) at end of year2016-12-31$36,160
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No

Form 5500 Responses for DHC FAITH, LLC 401(K) PLAN

2019: DHC FAITH, LLC 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 filingYes
2019-01-01This return/report is a short plan year return/report (less than 12 months)Yes
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
2018: DHC FAITH, LLC 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: DHC FAITH, LLC 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: DHC FAITH, LLC 401(K) PLAN 2016 form 5500 responses
2016-07-08Type of plan entitySingle employer plan
2016-07-08First time form 5500 has been submittedYes
2016-07-08Submission has been amendedNo
2016-07-08This submission is the final filingNo
2016-07-08This return/report is a short plan year return/report (less than 12 months)Yes
2016-07-08Plan is a collectively bargained planNo
2016-07-08Plan funding arrangement – InsuranceYes
2016-07-08Plan funding arrangement – TrustYes
2016-07-08Plan benefit arrangement – InsuranceYes
2016-07-08Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number125230
Policy instance 1
Insurance contract or identification number125230
Insurance policy start date2019-01-01
Insurance policy end date2019-12-18
Total amount of commissions paid to insurance brokerUSD $2,245
Total amount of fees paid to insurance companyUSD $150
Commission paid to Insurance BrokerUSD $743
Insurance broker organization code?3
Amount paid for insurance broker fees150
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number125230
Policy instance 1
Insurance contract or identification number125230
Number of Individuals Covered67
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $687
Total amount of fees paid to insurance companyUSD $75
Commission paid to Insurance BrokerUSD $572
Insurance broker organization code?3
Amount paid for insurance broker fees75
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number125230
Policy instance 1
Insurance contract or identification number125230
Number of Individuals Covered57
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $843
Total amount of fees paid to insurance companyUSD $125
Commission paid to Insurance BrokerUSD $208
Insurance broker organization code?3
Amount paid for insurance broker fees125
Insurance broker namePLAN ADMINISTRATION & CONSULTING

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