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ADCARE HEALTH REIMBURSEMENT 401k Plan overview

Plan NameADCARE HEALTH REIMBURSEMENT
Plan identification number 521

ADCARE HEALTH REIMBURSEMENT Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Other welfare benefit cover

401k Sponsoring company profile

ADCARE HOSPITAL OF WORCESTER, INC. has sponsored the creation of one or more 401k plans.

Company Name:ADCARE HOSPITAL OF WORCESTER, INC.
Employer identification number (EIN):042053042
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ADCARE HEALTH REIMBURSEMENT

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5212011-01-01DAVID W. HILLIS
5212010-01-01DAVID W. HILLIS
5212009-01-01JOAN BERTRAND DAVID HILLIS2010-07-13

Plan Statistics for ADCARE HEALTH REIMBURSEMENT

401k plan membership statisitcs for ADCARE HEALTH REIMBURSEMENT

Measure Date Value
2011: ADCARE HEALTH REIMBURSEMENT 2011 401k membership
Total participants, beginning-of-year2011-01-01156
Total number of active participants reported on line 7a of the Form 55002011-01-010
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-010
2010: ADCARE HEALTH REIMBURSEMENT 2010 401k membership
Total participants, beginning-of-year2010-01-01154
Total number of active participants reported on line 7a of the Form 55002010-01-01156
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-01156
Total participants2010-01-01156
2009: ADCARE HEALTH REIMBURSEMENT 2009 401k membership
Total participants, beginning-of-year2009-01-01144
Total number of active participants reported on line 7a of the Form 55002009-01-01154
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01154
Total participants2009-01-01154

Financial Data on ADCARE HEALTH REIMBURSEMENT

Measure Date Value
2011 : ADCARE HEALTH REIMBURSEMENT 2011 401k financial data
Total plan assets at end of year2011-09-30$0
Total plan assets at beginning of year2011-09-30$0
Net plan assets at end of year (total assets less liabilities)2011-09-30$0
Net plan assets at beginning of year (total assets less liabilities)2011-09-30$0

Form 5500 Responses for ADCARE HEALTH REIMBURSEMENT

2011: ADCARE HEALTH REIMBURSEMENT 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01This submission is the final filingYes
2011-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: ADCARE HEALTH REIMBURSEMENT 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: ADCARE HEALTH REIMBURSEMENT 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

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