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FORM 5500 DATA

ATC Healthcare Services, Inc. 401k Plan

Overview

Plan Information

  • Plan Year01/01/2008 — 12/31/2008
  • Date of Plan01/01/1987
  • Net Assets as of 12/31/2008 $1,453,682
  • Plan Number1
  • Plan Type Single Employer
  • Is the plan collectively bargained? No
  • Did the plan file for an extension of time or the DFVC Program?Yes
  • Plan Funding ArrangementInsurance Trust
  • Plan Benefit ArrangementInsurance Trust

Participant Information as of 12/31/2008

  • Active (Eligible) Participants798
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits45
  • Subtotal843
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total843
  • Total number of participants as of 01/01/2008917
  • Number of participants with account balances119
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested8
  • Number of participants required to be reported on Schedule SSA10

Expenses

  • Total Benefit Payments$0
  • Corrective Distributions$0
  • Administrative Service Providers$0
  • Other Expenses$0
  • Total Expenses$0
  • Total Transfers$0

Sponsor Information

  • Address1983 Marcus Ave
  • CityLake Success
  • StateNY
  • Zip11042-1016
  • Telephone(516) 750-1600
  • EIN58-1642356
  • Industry Code621610
  • Named AdministratorR C, -Ve A. -7-Ra V E-
  • Named Plan SponsorSmrrfr-^-L

Plan Administrator Information

  • Administrator NameSAME
  • Administrator EIN

Audit Information

  • Audit StatusAudited
  • AuditorEichen & Dimeglio, P.C.
  • Auditor EIN11-3320902
  • Audit Opinion Disclaimer
  • Audit TypeLimited Scope Audit

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.
3H Controlled Group Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

Questions and Answers

Question Answer Amount
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? Yes $1,649
Were any loans by the plan or fixed income obligations due the plan in default as of the close of plan year or classified during the year as uncollectible? Disregard participant loans secured by participant's account balance. No
Were any leases to which the plan was a party in default or classified during the year as uncollectible? No
Were there any nonexempt transactions with any party-in-interest? No
Was this plan covered by a fidelity bond? Yes $1,000,000
Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No
Did the plan hold any assets whose current value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan receive any noncash contributions whose value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan have assets held for investment? Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets? No
Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No

Financials

Income and Expense Statement

Income $-436,621
Contributions $141,158
Cash Contributions $141,158
Cash from Employers $7,325
Cash from Participants $133,833
Others (including rollovers) $0
Noncash Contributions $0
Total Earnings on Investments $-578,355
Total Interest $5,024
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $827
Interest from Other Investments $4,197
Total Dividends $0
Preferred Stock $0
Common Stock $0
Rents $0
Net gain (loss) on sale of assets $0
Aggregate Proceeds $0
Aggregate Carrying Amount $0
Total Unrealized Appreciation (depreciation) of assets $0
Real Estate $0
Other $0
Net investment gain (loss) from common/collective trusts $0
Net investment gain (loss) from pooled separate accounts $-583,379
Net investment gain (loss) from master trust investment accounts $0
Net investment gain (loss) from 103-12 investment entities $0
Net investment gain (loss) from registered investment companies $0
Other Income $576
Expenses $517,412
Total Benefit Payments $494,764
Directly to participants or beneficiaries, including direct rollovers $494,764
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $20,991
Certain deemed distributions of participant loans $0
Interest expense $0
Total Administrative Expenses $1,657
Professional Fees $0
Contract Administrator Fees $1,657
Investment Advisory and management fees $0
Other Administrative Fees $0
Net Income $-954,033
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2008 12/31/2007 Change YOY
Total Assets $1,453,682 $2,050,544 -29.11%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $1,812 $2,844 -36.29%
Employer Contributions $103 $170 -39.41%
Participant Contributions $1,709 $2,674 -36.09%
Other Contributions $0 $0 0.0%
General Investments $0 $0 0.0%
Interest-bearing cash $0 $0 0.0%
U.S. Government Securities $0 $0 0.0%
Corporate Debt Instruments $0 $0 0.0%
Preferred $0 $0 0.0%
All Other $0 $0 0.0%
Corporate Stocks $0 $0 0.0%
Preferred $0 $0 0.0%
Common $0 $0 0.0%
Partnership/joint venture interests $0 $0 0.0%
Real estate (other than employer real property) $0 $0 0.0%
Loans (other than to participants) $0 $0 0.0%
Participants Loans $14,647 $10,598 38.21%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $1,321,907 $1,919,525 -31.13%
Value of interest in master trust investment accounts $0 $0 0.0%
Value of interest in 103-12 investment entities $0 $0 0.0%
Value of interest in registered investment companies $0 $0 0.0%
Value of funds held in insurance co. general account $115,316 $117,577 -1.92%
Other Investments $0 $0 0.0%
Employer-related Investments $0 $0 0.0%
Employer Securities $0 $0 0.0%
Employer Real Property $0 $0 0.0%
Buildings and other property used in plan operation $0 $0 0.0%
Total Liabilities $0 $0 0.0%
Benefit Claims Payable (1) $0 $0 0.0%
Operating Payables (1) $0 $0 0.0%
Acquisition Indebtedness (1) $0 $0 0.0%
Other liabilities (1) $0 $0 0.0%
Net Assets $1,453,682 $2,050,544 -29.11%

Service Providers

Service Providers

There are no service providers listed for this plan.

Investments

Investments

Name of Investment Investment Manager Type of Investment Dollar Value
Principal Money Mkt Sep Acct Principal Life Insurance Company DFE: Pooled Separate Account $268,816
Principal U.S. Property Sepact Principal Life Insurance Company DFE: Pooled Separate Account $127,217
Prin Lgcp S&P 500 Idx Sep Acct Principal Life Insurance Company DFE: Pooled Separate Account $122,874
Prin Midcap Value III Sep Acct Principal Life Insurance Company DFE: Pooled Separate Account $113,724
Prin Smallcap Blend Sep Acct Principal Life Insurance Company DFE: Pooled Separate Account $109,533
Principal Bond and Mtg Sep Acc Principal Life Insurance Company DFE: Pooled Separate Account $84,117
Principal Divers Intl Sep Acct Principal Life Insurance Company DFE: Pooled Separate Account $83,393
Prin Intl Smallcap Sep Acct Principal Life Insurance Company DFE: Pooled Separate Account $77,483
Principal Govt&Hqbnd Sep Acct Principal Life Insurance Company DFE: Pooled Separate Account $66,757
Prin Largecap Blend I Sep Acct Principal Life Insurance Company DFE: Pooled Separate Account $57,696
Prin Midcap Blend Sep Acct Principal Life Insurance Company DFE: Pooled Separate Account $53,516
Prin Largecap Growth Sep Acct Principal Life Insurance Company DFE: Pooled Separate Account $49,557
Principal Lifetm 2020 Sep Acct Principal Life Insurance Company DFE: Pooled Separate Account $39,997
Principal Lifetm 2040 Sep Acct Principal Life Insurance Company DFE: Pooled Separate Account $24,965
Prin Fin Grp Inc. Stk Sep Acct Principal Life Insurance Company DFE: Pooled Separate Account $16,593
Principal Lifetm 2050 Sep Acct Principal Life Insurance Company DFE: Pooled Separate Account $7,904
Principal Lifetm 2010 Sep Acct Principal Life Insurance Company DFE: Pooled Separate Account $7,393
Principal Lifetm 2030 Sep Acct Principal Life Insurance Company DFE: Pooled Separate Account $4,974
Prin Stock Emph Bal Sep Acct Principal Life Insurance Company DFE: Pooled Separate Account $2,896
Prin Midcap Value I Sep Acct Principal Life Insurance Company DFE: Pooled Separate Account $1,185
Prin Lifetm Str Inc Sep Acct Principal Life Insurance Company DFE: Pooled Separate Account $976
Principal Bd Emph Bal Sep Acct Principal Life Insurance Company DFE: Pooled Separate Account $341
Prin Midcap S&P 400 Index Sa Principal Life Insurance Company DFE: Pooled Separate Account $0
Total $1,321,907

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Principal Life Insurance Company 843
EIN 42-0127290
Industry Code 61271
Contract Number (3)77835
Contract Year 01/01/2008 — 12/31/2008
Value in General Account at Year End $115,316
Value in Separate Accounts at Year End $1,321,907
Insurance Fees and Commissions $0
Persons Receiving Commissions and Fees There are no brokers listed for this plan.
Allocated Funds
Type of Contract Unspecified
Basis of premium rates
Premiums paid to carrier $0
Premiums due but unpaid at the end of the year $0
If the carrier, service, or other organization incurred any specific costs in connection with the acquisition or retention of the contract or policy, enter amount $0
Specify the nature of the costs
Unallocated Funds
Type of Contract
Balance at the end of the previous year $117,856
Additions $18,363
Contributions Deposited during the year $10,240
Dividends and credits $0
Interest credited during the year $4,197
Transferred from separate account $3,644
Other $282
Total of Balance and Additions $136,219
Deductions $20,903
Disbursed from fund to pay benefits or purchase annuities during the year $20,350
Administration charge made by carrier $90
Transferred to Separate Account $5
Other $458
Balance at the end of the current year $115,316