401k Plan data: MIDAS CREEK HOME HEALTH 401(K) PLAN plan

MIDAS CREEK HOME HEALTH 401(K) PLAN 401k Plan overview

Plan Name	MIDAS CREEK HOME HEALTH 401(K) PLAN
Plan identification number	001

MIDAS CREEK HOME HEALTH 401(K) PLAN Benefits

401k Plan Type

Defined 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.
Participant-directed brokerage accounts provided as an investment option under the plan.

401k Sponsoring company profile

MIDAS CREEK HOME HEALTH CARE, LLC has sponsored the creation of one or more 401k plans.

Company Name: MIDAS CREEK HOME HEALTH CARE, LLC

Employer identification number (EIN): 814283251

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MIDAS CREEK HOME HEALTH 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01
001 2018-01-01
001 2017-01-01 BROOKE NELSON
001 2016-01-01 BROOKE NELSON

Plan Statistics for MIDAS CREEK HOME HEALTH 401(K) PLAN

401k plan membership statisitcs for MIDAS CREEK HOME HEALTH 401(K) PLAN

Measure Date Value
2019: MIDAS CREEK HOME HEALTH 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
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 0
Total of all active and inactive participants 2019-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 0
Number of participants with account balances 2019-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: MIDAS CREEK HOME HEALTH 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 15
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 5
Number of other retired or separated participants entitled to future benefits 2018-01-01 7
Total of all active and inactive participants 2018-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 12
Number of participants with account balances 2018-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: MIDAS CREEK HOME HEALTH 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 21
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 7
Total of all active and inactive participants 2017-01-01 7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 8
Total participants 2017-01-01 15
Number of participants with account balances 2017-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: MIDAS CREEK HOME HEALTH 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 28
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 22
Number of other retired or separated participants entitled to future benefits 2016-01-01 3
Total of all active and inactive participants 2016-01-01 25
Total participants 2016-01-01 25
Number of participants with account balances 2016-01-01 19

Measure	Date	Value
2019: MIDAS CREEK HOME HEALTH 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
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	0
Total of all active and inactive participants	2019-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	0
Number of participants with account balances	2019-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: MIDAS CREEK HOME HEALTH 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	15
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	5
Number of other retired or separated participants entitled to future benefits	2018-01-01	7
Total of all active and inactive participants	2018-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	12
Number of participants with account balances	2018-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: MIDAS CREEK HOME HEALTH 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	21
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	7
Total of all active and inactive participants	2017-01-01	7
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	8
Total participants	2017-01-01	15
Number of participants with account balances	2017-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: MIDAS CREEK HOME HEALTH 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	28
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	22
Number of other retired or separated participants entitled to future benefits	2016-01-01	3
Total of all active and inactive participants	2016-01-01	25
Total participants	2016-01-01	25
Number of participants with account balances	2016-01-01	19

Financial Data on MIDAS CREEK HOME HEALTH 401(K) PLAN

Measure	Date	Value
2019 : MIDAS CREEK HOME HEALTH 401(K) PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$26,729
Expenses. Total of all expenses incurred	2019-12-31	$302,017
Benefits paid (including direct rollovers)	2019-12-31	$299,917
Total plan assets at end of year	2019-12-31	$0
Total plan assets at beginning of year	2019-12-31	$275,288
Value of fidelity bond covering the plan	2019-12-31	$30,000
Total contributions received or receivable from participants	2019-12-31	$432
Expenses. Other expenses not covered elsewhere	2019-12-31	$2,100
Other income received	2019-12-31	$24,550
Net income (gross income less expenses)	2019-12-31	$-275,288
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$275,288
Total contributions received or receivable from employer(s)	2019-12-31	$1,747
Value of corrective distributions	2019-12-31	$0
2018 : MIDAS CREEK HOME HEALTH 401(K) PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$-4,268
Expenses. Total of all expenses incurred	2018-12-31	$48,930
Benefits paid (including direct rollovers)	2018-12-31	$45,214
Total plan assets at end of year	2018-12-31	$275,288
Total plan assets at beginning of year	2018-12-31	$328,486
Value of fidelity bond covering the plan	2018-12-31	$50,000
Total contributions received or receivable from participants	2018-12-31	$4,382
Expenses. Other expenses not covered elsewhere	2018-12-31	$3,716
Other income received	2018-12-31	$-10,194
Net income (gross income less expenses)	2018-12-31	$-53,198
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$275,288
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$328,486
Total contributions received or receivable from employer(s)	2018-12-31	$1,544
2017 : MIDAS CREEK HOME HEALTH 401(K) PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$56,994
Expenses. Total of all expenses incurred	2017-12-31	$141,136
Benefits paid (including direct rollovers)	2017-12-31	$137,113
Total plan assets at end of year	2017-12-31	$328,486
Total plan assets at beginning of year	2017-12-31	$412,628
Value of fidelity bond covering the plan	2017-12-31	$50,000
Total contributions received or receivable from participants	2017-12-31	$13,084
Expenses. Other expenses not covered elsewhere	2017-12-31	$4,023
Other income received	2017-12-31	$37,196
Net income (gross income less expenses)	2017-12-31	$-84,142
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$328,486
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$412,628
Total contributions received or receivable from employer(s)	2017-12-31	$6,714
2016 : MIDAS CREEK HOME HEALTH 401(K) PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$69,955
Expenses. Total of all expenses incurred	2016-12-31	$17,452
Benefits paid (including direct rollovers)	2016-12-31	$12,778
Total plan assets at end of year	2016-12-31	$412,628
Total plan assets at beginning of year	2016-12-31	$360,125
Value of fidelity bond covering the plan	2016-12-31	$50,000
Total contributions received or receivable from participants	2016-12-31	$37,594
Expenses. Other expenses not covered elsewhere	2016-12-31	$4,674
Other income received	2016-12-31	$22,231
Net income (gross income less expenses)	2016-12-31	$52,503
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$412,628
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$360,125
Total contributions received or receivable from employer(s)	2016-12-31	$10,130

Form 5500 Responses for MIDAS CREEK HOME HEALTH 401(K) PLAN

2019: MIDAS CREEK HOME HEALTH 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	Yes
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: MIDAS CREEK HOME HEALTH 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: MIDAS CREEK HOME HEALTH 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: MIDAS CREEK HOME HEALTH 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

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

17767

Policy instance

Insurance contract or identification number	17767
Number of Individuals Covered	382
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $382
Total amount of fees paid to insurance company	USD $0
Commission paid to Insurance Broker	USD $382
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	ADVISORY SERVICES
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

17767

Policy instance

Insurance contract or identification number	17767
Number of Individuals Covered	12
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $788
Total amount of fees paid to insurance company	USD $0
Commission paid to Insurance Broker	USD $788
Additional information about fees paid to insurance broker	ADVISORY SERVICES
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

17767

Policy instance

Insurance contract or identification number	17767
Number of Individuals Covered	15
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $811
Total amount of fees paid to insurance company	USD $0
Commission paid to Insurance Broker	USD $811
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	ADVISORY SERVICES
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

Potentially related plans

MIDAS CREEK HOME HEALTH 401(K) PLAN [EIN = 205840885]

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Company Name:	MIDAS CREEK HOME HEALTH CARE, LLC
Employer identification number (EIN):	814283251
NAIC Classification:	621610
NAIC Description:	Home Health Care Services