401k Plan data: ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN plan

ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN
Plan identification number	501

ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

ROYAL HEALTH GROUP, LLC has sponsored the creation of one or more 401k plans.

Company Name: ROYAL HEALTH GROUP, LLC

Employer identification number (EIN): 043528203

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2014-01-01 FRED DALICANDRO FRED DALICANDRO 2015-06-01
501 2013-01-01 FRED DALICANDRO FRED DALICANDRO 2014-06-23
501 2012-11-01 FRED DALICANDRO FRED DALICANDRO 2014-06-27
501 2010-01-01 STUART MURPHY
501 2009-01-01 STUART MURPHY

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2014-01-01	FRED DALICANDRO	FRED DALICANDRO	2015-06-01
501	2013-01-01	FRED DALICANDRO	FRED DALICANDRO	2014-06-23
501	2012-11-01	FRED DALICANDRO	FRED DALICANDRO	2014-06-27
501	2010-01-01	STUART MURPHY
501	2009-01-01	STUART MURPHY

Plan Statistics for ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN

401k plan membership statisitcs for ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN

Measure Date Value
2014: ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 568
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 628
Number of retired or separated participants receiving benefits 2014-01-01 23
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 651
2013: ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 538
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 568
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 568
2012: ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-11-01 505
Total number of active participants reported on line 7a of the Form 5500 2012-11-01 538
Number of retired or separated participants receiving benefits 2012-11-01 0
Number of other retired or separated participants entitled to future benefits 2012-11-01 0
Total of all active and inactive participants 2012-11-01 538
2010: ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 432
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 500
Number of retired or separated participants receiving benefits 2010-01-01 5
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 505
2009: ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 453
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 424
Number of retired or separated participants receiving benefits 2009-01-01 8
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 432

Measure	Date	Value
2014: ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	568
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	628
Number of retired or separated participants receiving benefits	2014-01-01	23
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	651
2013: ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	538
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	568
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	568
2012: ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-11-01	505
Total number of active participants reported on line 7a of the Form 5500	2012-11-01	538
Number of retired or separated participants receiving benefits	2012-11-01	0
Number of other retired or separated participants entitled to future benefits	2012-11-01	0
Total of all active and inactive participants	2012-11-01	538
2010: ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	432
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	500
Number of retired or separated participants receiving benefits	2010-01-01	5
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	505
2009: ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	453
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	424
Number of retired or separated participants receiving benefits	2009-01-01	8
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	432

Form 5500 Responses for ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN

2014: ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-11-01	Type of plan entity	Single employer plan
2012-11-01	Submission has been amended	No
2012-11-01	This submission is the final filing	No
2012-11-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-11-01	Plan is a collectively bargained plan	No
2012-11-01	Plan funding arrangement – Insurance	Yes
2012-11-01	Plan benefit arrangement – Insurance	Yes
2010: ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: ROYAL HEALTH GROUP HEALTH AND WELFARE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	ROYAL HEALTH GROUP, LLC
Employer identification number (EIN):	043528203
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities