401k Plan data: RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC. plan

RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC. 401k Plan overview

Plan Name	RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC.
Plan identification number	001

RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC. Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
Plan covered by PBGC that was terminated and closed out for PBGC purposes - Before the end of the plan year (or a prior plan year), (1) the plan terminated in a standard (or distress) termination and completed the distribution of plan assets in satisfaction of all benefit liabilities (or all ERISA Title IV benefits for distress termination); or (2) a trustee was appointed for a terminated plan pursuant to ERISA section 4042.
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

PLAZA NURSING HOME COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name: PLAZA NURSING HOME COMPANY, INC.

Employer identification number (EIN): 160955793

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

Additional information about PLAZA NURSING HOME COMPANY, INC.

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1968-08-02

Company Identification Number: 226517

More information about PLAZA NURSING HOME COMPANY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2020-01-01 ADAM FITZGERALD 2020-02-19
001 2019-01-01 ADAM FITZGERALD 2020-01-24
001 2018-01-01 ADAM FITZGERALD 2019-06-21
001 2017-01-01 ADAM FITZGERALD 2018-06-21
001 2016-01-01 ADAM FITZGERALD 2017-06-08
001 2015-01-01 ADAM FITZGERALD 2016-07-15
001 2014-01-01 JOHN MURRAY 2015-05-20
001 2013-01-01 JOHN MURRAY 2014-10-10
001 2012-01-01 JOHN MURRAY 2013-10-14
001 2011-01-01 ROBERT F. WOOD 2012-10-12
001 2009-01-01 ROBERT F. WOOD ROBERT F. WOOD 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2020-01-01	ADAM FITZGERALD	2020-02-19
001	2019-01-01	ADAM FITZGERALD	2020-01-24
001	2018-01-01	ADAM FITZGERALD	2019-06-21
001	2017-01-01	ADAM FITZGERALD	2018-06-21
001	2016-01-01	ADAM FITZGERALD	2017-06-08
001	2015-01-01	ADAM FITZGERALD	2016-07-15
001	2014-01-01	JOHN MURRAY	2015-05-20
001	2013-01-01	JOHN MURRAY	2014-10-10
001	2012-01-01	JOHN MURRAY	2013-10-14
001	2011-01-01	ROBERT F. WOOD	2012-10-12
001	2009-01-01	ROBERT F. WOOD		ROBERT F. WOOD	2010-10-14

Plan Statistics for RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC.

401k plan membership statisitcs for RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC.

Measure Date Value
2019: RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC. 2019 401k membership
Market value of plan assets 2019-12-31 25,377
Acturial value of plan assets 2019-12-31 25,377
Funding target for retired participants and beneficiaries receiving payment 2019-12-31 67,596
Number of terminated vested participants 2019-12-31 2
Fundng target for terminated vested participants 2019-12-31 15,456
Active participant vested funding target 2019-12-31 6,627
Number of active participants 2019-12-31 1
Total funding liabilities for active participants 2019-12-31 6,627
Total participant count 2019-12-31 8
Total funding target for all participants 2019-12-31 89,679
Balance at beginning of prior year after applicable adjustments 2019-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2019-12-31 0
Carryover balanced portion elected for use to offset prior years funding requirement 2019-12-31 0
Prefunding balanced used to offset prior years funding requirement 2019-12-31 0
Amount remaining of carryover balance 2019-12-31 0
Amount remaining of prefunding balance 2019-12-31 0
Present value of excess contributions 2019-12-31 1
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2019-12-31 1
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2019-12-31 0
Reductions in caryover balances due to elections or deemed elections 2019-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2019-12-31 0
Balance of carryovers at beginning of current year 2019-12-31 0
Balance of prefunding at beginning of current year 2019-12-31 0
Total employer contributions 2019-12-31 90,383
Total employee contributions 2019-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2019-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2019-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2019-12-31 86,628
Unpaid minimum required contributions for all prior years 2019-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2019-12-31 0
Remaining amount of unpaid minimum required contributions 2019-12-31 0
Minimum required contributions for current year target normal cost 2019-12-31 3,000
Net shortfall amortization installment of oustanding balance 2019-12-31 64,302
Waiver amortization installment 2019-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2019-12-31 21,522
Additional cash requirement 2019-12-31 21,522
Contributions allocatedtoward minimum required contributions for current year 2019-12-31 86,628
Unpaid minimum required contributions for current year 2019-12-31 0
Unpaid minimum required contributions for all years 2019-12-31 0
2018: RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC. 2018 401k membership
Market value of plan assets 2018-12-31 23,624
Acturial value of plan assets 2018-12-31 21,262
Funding target for retired participants and beneficiaries receiving payment 2018-12-31 77,005
Number of terminated vested participants 2018-12-31 2
Fundng target for terminated vested participants 2018-12-31 14,193
Active participant vested funding target 2018-12-31 6,116
Number of active participants 2018-12-31 1
Total funding liabilities for active participants 2018-12-31 6,116
Total participant count 2018-12-31 10
Total funding target for all participants 2018-12-31 97,314
Balance at beginning of prior year after applicable adjustments 2018-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2018-12-31 0
Carryover balanced portion elected for use to offset prior years funding requirement 2018-12-31 0
Prefunding balanced used to offset prior years funding requirement 2018-12-31 0
Amount remaining of carryover balance 2018-12-31 0
Amount remaining of prefunding balance 2018-12-31 0
Present value of excess contributions 2018-12-31 0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2018-12-31 0
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2018-12-31 0
Reductions in caryover balances due to elections or deemed elections 2018-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2018-12-31 0
Balance of carryovers at beginning of current year 2018-12-31 0
Balance of prefunding at beginning of current year 2018-12-31 0
Total employer contributions 2018-12-31 18,380
Total employee contributions 2018-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2018-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2018-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2018-12-31 17,743
Unpaid minimum required contributions for all prior years 2018-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2018-12-31 0
Remaining amount of unpaid minimum required contributions 2018-12-31 0
Minimum required contributions for current year target normal cost 2018-12-31 3,000
Net shortfall amortization installment of oustanding balance 2018-12-31 76,052
Waiver amortization installment 2018-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2018-12-31 17,742
Additional cash requirement 2018-12-31 17,742
Contributions allocatedtoward minimum required contributions for current year 2018-12-31 17,743
Unpaid minimum required contributions for current year 2018-12-31 0
Unpaid minimum required contributions for all years 2018-12-31 0
2017: RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC. 2017 401k membership
Market value of plan assets 2017-12-31 78,563
Acturial value of plan assets 2017-12-31 80,925
Funding target for retired participants and beneficiaries receiving payment 2017-12-31 77,672
Number of terminated vested participants 2017-12-31 4
Fundng target for terminated vested participants 2017-12-31 69,772
Active participant vested funding target 2017-12-31 5,450
Number of active participants 2017-12-31 1
Total funding liabilities for active participants 2017-12-31 5,450
Total participant count 2017-12-31 12
Total funding target for all participants 2017-12-31 152,894
Balance at beginning of prior year after applicable adjustments 2017-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2017-12-31 0
Carryover balanced portion elected for use to offset prior years funding requirement 2017-12-31 0
Prefunding balanced used to offset prior years funding requirement 2017-12-31 0
Amount remaining of carryover balance 2017-12-31 0
Amount remaining of prefunding balance 2017-12-31 0
Present value of excess contributions 2017-12-31 37
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2017-12-31 39
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2017-12-31 0
Reductions in caryover balances due to elections or deemed elections 2017-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2017-12-31 0
Balance of carryovers at beginning of current year 2017-12-31 0
Balance of prefunding at beginning of current year 2017-12-31 0
Total employer contributions 2017-12-31 22,779
Total employee contributions 2017-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2017-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2017-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2017-12-31 22,002
Unpaid minimum required contributions for all prior years 2017-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2017-12-31 0
Remaining amount of unpaid minimum required contributions 2017-12-31 0
Minimum required contributions for current year target normal cost 2017-12-31 3,000
Net shortfall amortization installment of oustanding balance 2017-12-31 71,969
Waiver amortization installment 2017-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2017-12-31 22,002
Additional cash requirement 2017-12-31 22,002
Contributions allocatedtoward minimum required contributions for current year 2017-12-31 22,002
Unpaid minimum required contributions for current year 2017-12-31 0
Unpaid minimum required contributions for all years 2017-12-31 0
2016: RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC. 2016 401k membership
Market value of plan assets 2016-12-31 130,360
Acturial value of plan assets 2016-12-31 138,115
Funding target for retired participants and beneficiaries receiving payment 2016-12-31 53,543
Number of terminated vested participants 2016-12-31 7
Fundng target for terminated vested participants 2016-12-31 154,836
Active participant vested funding target 2016-12-31 4,960
Number of active participants 2016-12-31 1
Total funding liabilities for active participants 2016-12-31 4,960
Total participant count 2016-12-31 15
Total funding target for all participants 2016-12-31 213,339
Balance at beginning of prior year after applicable adjustments 2016-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2016-12-31 0
Carryover balanced portion elected for use to offset prior years funding requirement 2016-12-31 0
Prefunding balanced used to offset prior years funding requirement 2016-12-31 0
Amount remaining of carryover balance 2016-12-31 0
Amount remaining of prefunding balance 2016-12-31 0
Present value of excess contributions 2016-12-31 0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2016-12-31 0
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2016-12-31 0
Reductions in caryover balances due to elections or deemed elections 2016-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2016-12-31 0
Balance of carryovers at beginning of current year 2016-12-31 0
Balance of prefunding at beginning of current year 2016-12-31 0
Total employer contributions 2016-12-31 29,943
Total employee contributions 2016-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2016-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2016-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2016-12-31 28,763
Unpaid minimum required contributions for all prior years 2016-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2016-12-31 0
Remaining amount of unpaid minimum required contributions 2016-12-31 0
Minimum required contributions for current year target normal cost 2016-12-31 3,000
Net shortfall amortization installment of oustanding balance 2016-12-31 75,224
Waiver amortization installment 2016-12-31 0
Waived amount of outstanding balance 2016-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2016-12-31 28,726
Additional cash requirement 2016-12-31 28,726
Contributions allocatedtoward minimum required contributions for current year 2016-12-31 28,763
Unpaid minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for all years 2016-12-31 0
2009: RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC. 2009 401k membership
Total participants, beginning-of-year 2009-01-01 27
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 9
Number of retired or separated participants receiving benefits 2009-01-01 7
Number of other retired or separated participants entitled to future benefits 2009-01-01 9
Total of all active and inactive participants 2009-01-01 25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2019: RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC. 2019 401k membership
Market value of plan assets	2019-12-31	25,377
Acturial value of plan assets	2019-12-31	25,377
Funding target for retired participants and beneficiaries receiving payment	2019-12-31	67,596
Number of terminated vested participants	2019-12-31	2
Fundng target for terminated vested participants	2019-12-31	15,456
Active participant vested funding target	2019-12-31	6,627
Number of active participants	2019-12-31	1
Total funding liabilities for active participants	2019-12-31	6,627
Total participant count	2019-12-31	8
Total funding target for all participants	2019-12-31	89,679
Balance at beginning of prior year after applicable adjustments	2019-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2019-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2019-12-31	0
Prefunding balanced used to offset prior years funding requirement	2019-12-31	0
Amount remaining of carryover balance	2019-12-31	0
Amount remaining of prefunding balance	2019-12-31	0
Present value of excess contributions	2019-12-31	1
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2019-12-31	1
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2019-12-31	0
Reductions in caryover balances due to elections or deemed elections	2019-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2019-12-31	0
Balance of carryovers at beginning of current year	2019-12-31	0
Balance of prefunding at beginning of current year	2019-12-31	0
Total employer contributions	2019-12-31	90,383
Total employee contributions	2019-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2019-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2019-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2019-12-31	86,628
Unpaid minimum required contributions for all prior years	2019-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2019-12-31	0
Remaining amount of unpaid minimum required contributions	2019-12-31	0
Minimum required contributions for current year target normal cost	2019-12-31	3,000
Net shortfall amortization installment of oustanding balance	2019-12-31	64,302
Waiver amortization installment	2019-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2019-12-31	21,522
Additional cash requirement	2019-12-31	21,522
Contributions allocatedtoward minimum required contributions for current year	2019-12-31	86,628
Unpaid minimum required contributions for current year	2019-12-31	0
Unpaid minimum required contributions for all years	2019-12-31	0
2018: RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC. 2018 401k membership
Market value of plan assets	2018-12-31	23,624
Acturial value of plan assets	2018-12-31	21,262
Funding target for retired participants and beneficiaries receiving payment	2018-12-31	77,005
Number of terminated vested participants	2018-12-31	2
Fundng target for terminated vested participants	2018-12-31	14,193
Active participant vested funding target	2018-12-31	6,116
Number of active participants	2018-12-31	1
Total funding liabilities for active participants	2018-12-31	6,116
Total participant count	2018-12-31	10
Total funding target for all participants	2018-12-31	97,314
Balance at beginning of prior year after applicable adjustments	2018-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2018-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2018-12-31	0
Prefunding balanced used to offset prior years funding requirement	2018-12-31	0
Amount remaining of carryover balance	2018-12-31	0
Amount remaining of prefunding balance	2018-12-31	0
Present value of excess contributions	2018-12-31	0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2018-12-31	0
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2018-12-31	0
Reductions in caryover balances due to elections or deemed elections	2018-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2018-12-31	0
Balance of carryovers at beginning of current year	2018-12-31	0
Balance of prefunding at beginning of current year	2018-12-31	0
Total employer contributions	2018-12-31	18,380
Total employee contributions	2018-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2018-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2018-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2018-12-31	17,743
Unpaid minimum required contributions for all prior years	2018-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2018-12-31	0
Remaining amount of unpaid minimum required contributions	2018-12-31	0
Minimum required contributions for current year target normal cost	2018-12-31	3,000
Net shortfall amortization installment of oustanding balance	2018-12-31	76,052
Waiver amortization installment	2018-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2018-12-31	17,742
Additional cash requirement	2018-12-31	17,742
Contributions allocatedtoward minimum required contributions for current year	2018-12-31	17,743
Unpaid minimum required contributions for current year	2018-12-31	0
Unpaid minimum required contributions for all years	2018-12-31	0
2017: RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC. 2017 401k membership
Market value of plan assets	2017-12-31	78,563
Acturial value of plan assets	2017-12-31	80,925
Funding target for retired participants and beneficiaries receiving payment	2017-12-31	77,672
Number of terminated vested participants	2017-12-31	4
Fundng target for terminated vested participants	2017-12-31	69,772
Active participant vested funding target	2017-12-31	5,450
Number of active participants	2017-12-31	1
Total funding liabilities for active participants	2017-12-31	5,450
Total participant count	2017-12-31	12
Total funding target for all participants	2017-12-31	152,894
Balance at beginning of prior year after applicable adjustments	2017-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2017-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2017-12-31	0
Prefunding balanced used to offset prior years funding requirement	2017-12-31	0
Amount remaining of carryover balance	2017-12-31	0
Amount remaining of prefunding balance	2017-12-31	0
Present value of excess contributions	2017-12-31	37
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2017-12-31	39
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2017-12-31	0
Reductions in caryover balances due to elections or deemed elections	2017-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2017-12-31	0
Balance of carryovers at beginning of current year	2017-12-31	0
Balance of prefunding at beginning of current year	2017-12-31	0
Total employer contributions	2017-12-31	22,779
Total employee contributions	2017-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2017-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2017-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2017-12-31	22,002
Unpaid minimum required contributions for all prior years	2017-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2017-12-31	0
Remaining amount of unpaid minimum required contributions	2017-12-31	0
Minimum required contributions for current year target normal cost	2017-12-31	3,000
Net shortfall amortization installment of oustanding balance	2017-12-31	71,969
Waiver amortization installment	2017-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2017-12-31	22,002
Additional cash requirement	2017-12-31	22,002
Contributions allocatedtoward minimum required contributions for current year	2017-12-31	22,002
Unpaid minimum required contributions for current year	2017-12-31	0
Unpaid minimum required contributions for all years	2017-12-31	0
2016: RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC. 2016 401k membership
Market value of plan assets	2016-12-31	130,360
Acturial value of plan assets	2016-12-31	138,115
Funding target for retired participants and beneficiaries receiving payment	2016-12-31	53,543
Number of terminated vested participants	2016-12-31	7
Fundng target for terminated vested participants	2016-12-31	154,836
Active participant vested funding target	2016-12-31	4,960
Number of active participants	2016-12-31	1
Total funding liabilities for active participants	2016-12-31	4,960
Total participant count	2016-12-31	15
Total funding target for all participants	2016-12-31	213,339
Balance at beginning of prior year after applicable adjustments	2016-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2016-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2016-12-31	0
Prefunding balanced used to offset prior years funding requirement	2016-12-31	0
Amount remaining of carryover balance	2016-12-31	0
Amount remaining of prefunding balance	2016-12-31	0
Present value of excess contributions	2016-12-31	0
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-31	0
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2016-12-31	0
Reductions in caryover balances due to elections or deemed elections	2016-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2016-12-31	0
Balance of carryovers at beginning of current year	2016-12-31	0
Balance of prefunding at beginning of current year	2016-12-31	0
Total employer contributions	2016-12-31	29,943
Total employee contributions	2016-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2016-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2016-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-31	28,763
Unpaid minimum required contributions for all prior years	2016-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2016-12-31	0
Remaining amount of unpaid minimum required contributions	2016-12-31	0
Minimum required contributions for current year target normal cost	2016-12-31	3,000
Net shortfall amortization installment of oustanding balance	2016-12-31	75,224
Waiver amortization installment	2016-12-31	0
Waived amount of outstanding balance	2016-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2016-12-31	28,726
Additional cash requirement	2016-12-31	28,726
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	28,763
Unpaid minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for all years	2016-12-31	0
2009: RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC. 2009 401k membership
Total participants, beginning-of-year	2009-01-01	27
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	9
Number of retired or separated participants receiving benefits	2009-01-01	7
Number of other retired or separated participants entitled to future benefits	2009-01-01	9
Total of all active and inactive participants	2009-01-01	25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC.

Measure	Date	Value
2010 : RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC. 2010 401k financial data
Total income from all sources	2010-12-31	$94,570
Expenses. Total of all expenses incurred	2010-12-31	$80,248
Benefits paid (including direct rollovers)	2010-12-31	$66,749
Total plan assets at end of year	2010-12-31	$114,814
Total plan assets at beginning of year	2010-12-31	$100,492
Value of fidelity bond covering the plan	2010-12-31	$200,000
Other income received	2010-12-31	$33,793
Net income (gross income less expenses)	2010-12-31	$14,322
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$114,814
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$100,492
Total contributions received or receivable from employer(s)	2010-12-31	$60,777
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$13,499
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC. 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC.

2009: RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC. 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Potentially related plans

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Company Name:	PLAZA NURSING HOME COMPANY, INC.
Employer identification number (EIN):	160955793
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1968-08-02
Company Identification Number:	226517