Home   >   Carestaf 401k Profit Sharing Plan  >  Form 5500
   Basic Info (Short Form)

Company:
Carestaf of Kansas City, Inc.

Plan:
Carestaf 401k Profit Sharing Plan
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Plan Information
Plan Year 01/01/2009 — 12/31/2009
Effective Date of Plan 01/01/2002
Net Assets as of 12/31/2009 $0
Plan Number 1
Plan Type Single Employer
Did the plan file for an extension of time or the DFVC Program? No
Report Description This is an amended report.
This is the final report filed for the plan.

Participant Information as of 12/31/2009
Total 0
Total number of participants as of 01/01/2009 13
Number of participants with account balances 0

Financial Information as of 12/31/2009
Total Assets (EOY) $0
Total Liabilities (EOY) $0
Net Assets (EOY) $0
Financial Information as of 01/01/2009
Total Assets (BOY) $112,592
Total Liabilities (BOY) $0
Net Assets (BOY) $112,592
Income
Cash from Employers $0
Cash from Participants $0
Others (including rollovers) $0
Other Income $-3,836
Total Income $-3,836
Net Income $-112,592
Expenses
Total Benefit Payments $105,796
Corrective Distributions $0
Administrative Service Providers $2,960
Other Expenses $0
Total Expenses $108,756
Total Transfers $0
Plan Sponsor Information
Address 4400 W 109th St, Ste 101
Overland Park, KS 66211
Telephone (913) 498-2888
EIN 48-1104736
Industry Code 623000
Named Administrator Dennis Brown
Named Plan Sponsor Dennis Brown

Plan Administrator Information
Administrator Name Carestaf of Kansas City Inc
Address 4400 W 109th St, Ste 101
Overland Park, KS 66211
Telephone (913) 498-2888
Administrator EIN 48-1104736

Benefits Provided Under the Plan
Code Benefit Description
2E Profit-sharing A defined contribution plan that allows employer discretionary contributions. These plans often contain a 401(k) feature.
2F ERISA section 404(c) Plan This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
2G 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.
2J 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.
2K 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 contributions 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.
3E Prototype plan A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a separate funding medium (for example, a separate trust or custodial account) is established for the use of each adopting employer.

Question   Answer Amount
1. During the plan year did the employer fail to transmit to the plan any participant contributions within the time period described in 29 CFT 2510.3-102? No  
2. Were there any nonexempt transactions with any party-in-interest? No  
3. Was this plan covered by a fidelity bond? No  
4. Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No  
5. Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? Yes  
6. Has the plan failed to provide any benefit when due under the plan? No  
7. If this is an individual account plan, was there a blackout period? No  
8. If there was a blackout period, have you either provided the required notice or one of the exceptions to providing the notice applied under 29 CFR 2520.101-3?