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Freedom Healthcare of America, LLC d/b/a Addiction Campuses of America

Plan Rating
FORM 5500 DATA

Addiction Campuses 401k Plan

Overview

Plan Information

  • Plan Year02/01/2016 — 12/31/2016
  • Date of Plan02/01/2016
  • Net Assets as of 12/31/2016 $251,478
  • 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
  • Report DescriptionThis is the first report filed for the plan. This report is for a short plan year (less than 12 months).
  • Plan Funding Arrangement Trust
  • Plan Benefit Arrangement Trust

Participant Information as of 12/31/2016

  • Active (Eligible) Participants276
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits10
  • Subtotal286
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total286
  • Total number of participants as of 02/01/2016155
  • Number of participants with account balances82
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested0

Expenses

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

Sponsor Information

  • Address205 Reidhurst Avenue
  • CityNashville
  • StateTN
  • Zip37203
  • Telephone(615) 812-8940
  • EIN46-4250098
  • Industry Code621420
  • Named AdministratorJay Sharp
  • Named Plan SponsorJay Sharp

Audit Information

  • Audit StatusAudited
  • AuditorFraiser Dean & Howard
  • Auditor EIN62-1073578
  • 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.
2T Participant-directed Account Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
3D 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.
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? No
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
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
Has the plan failed to provide any benefit when due under the plan? No
If this is an individual account plan, was there a blackout period? No
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? No

Financials

Income and Expense Statement

Income $298,254
Contributions $286,200
Cash Contributions $286,200
Cash from Employers $0
Cash from Participants $286,200
Others (including rollovers) $0
Noncash Contributions $0
Total Earnings on Investments $11,751
Total Interest $0
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $0
Interest from Other Investments $0
Total Dividends $7,894
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 $1,892
Net investment gain (loss) from pooled separate accounts $0
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 $1,965
Other Income $303
Expenses $46,776
Total Benefit Payments $45,284
Directly to participants or beneficiaries, including direct rollovers $45,284
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $0
Certain deemed distributions of participant loans $0
Interest expense $0
Total Administrative Expenses $1,492
Professional Fees $0
Contract Administrator Fees $0
Investment Advisory and management fees $0
Other Administrative Fees $1,492
Net Income $251,478
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2016 01/31/2016 Change YOY
Total Assets $251,478 $0 0.0%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $0 $0 0.0%
Employer Contributions $0 $0 0.0%
Participant Contributions $0 $0 0.0%
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 $5,756 $0 0.0%
Value of interest in common/collective trusts $22,385 $0 0.0%
Value of interest in pooled separate accounts $0 $0 0.0%
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 $223,337 $0 0.0%
Value of funds held in insurance co. general account $0 $0 0.0%
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 $251,478 $0 0.0%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • Deam Distributors, Inc.
  • Delaware Investments
  • Federated Securities Corp.
  • Fred Alger & Company, Incorporated
  • Invesco Distributors, Inc.
  • J.P. Morgan Investment Management
  • Janus Distributors, LLC
  • Phoenix - Virtus
  • Pioneer Investment Management, Inc
  • Prudential Investments LLC
  • State Street Corporation
  • T. Rowe Price

Other Service Providers Receiving Direct or Indirect Compensation

Name Nature of Service Relationship to Plan Sponsor Direct Compensation Paid by Plan Indirect Compensation Paid by Plan Total Compensation
Adp, LLC Participant loan processing, Direct payment from the plan, Recordkeeping and information management (computing, tabulating, data processing, etc.), Recordkeeping fees Record Keeper $875 $0 $875
Adp Broker-Dealer Sub-transfer agency fees, Shareholder servicing fees, Distribution (12b-1) fees, Other services, Other fees Record Keeper $0 $0 $0
Total $875 $0 $875

Indirect Compensation

Name Source of Indirect Compensation* Nature of Service Description of Indirect Compensation Indirect Compensation Paid by Plan
Adp Broker-Dealer Deam Distributors, Inc. Distribution (12b-1) fees, Sub-transfer agency fees, Shareholder servicing fees Annual Rate 0.00250 of Average Daily Assets Annual Rate 0.00350 of Average Daily Assets $0
Adp Broker-Dealer Delaware Investments Distribution (12b-1) fees, Sub-transfer agency fees, Shareholder servicing fees Annual Rate 0.00250 of Average Daily Assets $0
Adp Broker-Dealer Federated Securities Corp. Distribution (12b-1) fees, Sub-transfer agency fees, Shareholder servicing fees Annual Rate 0.00250 of Average Daily Assets $0
Adp Broker-Dealer Fred Alger & Company, Incorporated Sub-transfer agency fees, Shareholder servicing fees Annual Rate 0.00500 of Average Daily Assets $0
Adp Broker-Dealer Invesco Distributors, Inc. Distribution (12b-1) fees, Sub-transfer agency fees, Shareholder servicing fees, Other fees Annual Rate 0.00250 of Average Daily Assets Annual Rate 0.00780 of Average Daily Assets $0
Adp Broker-Dealer J.P. Morgan Investment Management Distribution (12b-1) fees, Sub-transfer agency fees, Shareholder servicing fees Annual Rate 0.00250 of Average Daily Assets Annual Rate 0.00250 of Average Daily Assets Annual Rate 0.00250 of Average Daily Assets $0
Adp Broker-Dealer Janus Distributors, LLC Distribution (12b-1) fees, Sub-transfer agency fees, Shareholder servicing fees Annual Rate 0.00250 of Average Daily Assets $0
Adp Broker-Dealer Phoenix - Virtus Distribution (12b-1) fees, Sub-transfer agency fees, Shareholder servicing fees Annual Rate 0.00250 of Average Daily Assets Annual Rate 0.00200 of Average Daily Assets $0
Adp Broker-Dealer Pioneer Investment Management, Inc Distribution (12b-1) fees, Sub-transfer agency fees, Shareholder servicing fees Annual Rate 0.00250 of Average Daily Assets $0
Adp Broker-Dealer Prudential Investments LLC Distribution (12b-1) fees, Sub-transfer agency fees, Shareholder servicing fees Annual Rate 0.00250 of Average Daily Assets $0
Adp Broker-Dealer State Street Corporation Other fees Annual Rate 0.00630 of Average Daily Assets Annual Rate 0.00670 of Average Daily Assets Annual Rate 0.00870 of Average Daily Assets Annual Rate 0.00550 of Average Daily Assets Annual Rate 0.00750 of Average Daily Assets $0
Adp Broker-Dealer T. Rowe Price Distribution (12b-1) fees, Sub-transfer agency fees, Shareholder servicing fees Annual Rate 0.00500 of Average Daily Assets Annual Rate 0.00150 of Average Daily Assets Annual Rate 0.00500 of Average Daily Assets Annual Rate 0.00150 of Average Daily Assets Annual Rate 0.00500 of Average Daily Assets $0
*As outlined by the Form 5500 Instructions for service providers with indirect compensation.

Service Providers Who Fail or Refuse to Provide Information

There are no service providers who failed or refused to provide information.

Termination Information on Accountants and Enrolled Actuaries

There is no termination information for this plan.

Investments

Investments

Name of Investment Investment Manager Type of Investment Dollar Value
State St S&P 500 Idx Ix State Street Bank & Trust Co DFE: Common/Collective Trust $18,583
Invesco Stable Asset Invesco Trust Company DFE: Common/Collective Trust $1,314
State St Russ Sc Idx VIII State Street Bank & Trust Co DFE: Common/Collective Trust $1,264
State St Intl Idx Seclend VIII State Street Bank & Trust Co DFE: Common/Collective Trust $954
State St S&P Md Cp Idx Nl J State Street Bank & Trust Co DFE: Common/Collective Trust $225
State Us Infl Prot Bd Idx Nl G State Street Bank & Trust Co DFE: Common/Collective Trust $45
Total $22,385

Insurance Information

Insurance Information

There are no insurance carriers listed for this plan.