401k Plan data: THE MEADOWS AT WESTFALL 403(B) PLAN plan

THE MEADOWS AT WESTFALL 403(B) PLAN 401k Plan overview

Plan Name	THE MEADOWS AT WESTFALL 403(B) PLAN
Plan identification number	001

THE MEADOWS AT WESTFALL 403(B) PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations. Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.

401k Sponsoring company profile

THE MEADOWS AT WESTFALL INC. has sponsored the creation of one or more 401k plans.

Company Name: THE MEADOWS AT WESTFALL INC.

Employer identification number (EIN): 161502303

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE MEADOWS AT WESTFALL 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 ESTHER DASH
001 2014-01-01 ESTHER DASH
001 2013-01-01 ESTHER DASH
001 2012-01-01 ESTHER DASH
001 2011-01-01 ESTHER DASH

Plan id#	Filing Submission Date	Name of Administrator
001	2015-01-01	ESTHER DASH
001	2014-01-01	ESTHER DASH
001	2013-01-01	ESTHER DASH
001	2012-01-01	ESTHER DASH
001	2011-01-01	ESTHER DASH

Plan Statistics for THE MEADOWS AT WESTFALL 403(B) PLAN

401k plan membership statisitcs for THE MEADOWS AT WESTFALL 403(B) PLAN

Measure Date Value
2015: THE MEADOWS AT WESTFALL 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 137
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 104
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 45
Total of all active and inactive participants 2015-01-01 149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 2
Total participants 2015-01-01 151
Number of participants with account balances 2015-01-01 147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: THE MEADOWS AT WESTFALL 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 142
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 84
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 51
Total of all active and inactive participants 2014-01-01 135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 2
Total participants 2014-01-01 137
Number of participants with account balances 2014-01-01 133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: THE MEADOWS AT WESTFALL 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 144
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 83
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 57
Total of all active and inactive participants 2013-01-01 140
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 2
Total participants 2013-01-01 142
Number of participants with account balances 2013-01-01 138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: THE MEADOWS AT WESTFALL 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 159
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 75
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 67
Total of all active and inactive participants 2012-01-01 142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 2
Total participants 2012-01-01 144
Number of participants with account balances 2012-01-01 141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: THE MEADOWS AT WESTFALL 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 151
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 150
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 7
Total of all active and inactive participants 2011-01-01 157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 2
Total participants 2011-01-01 159
Number of participants with account balances 2011-01-01 132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2015: THE MEADOWS AT WESTFALL 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	137
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	104
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	45
Total of all active and inactive participants	2015-01-01	149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	2
Total participants	2015-01-01	151
Number of participants with account balances	2015-01-01	147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: THE MEADOWS AT WESTFALL 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	142
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	84
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	51
Total of all active and inactive participants	2014-01-01	135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	2
Total participants	2014-01-01	137
Number of participants with account balances	2014-01-01	133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: THE MEADOWS AT WESTFALL 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	144
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	83
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	57
Total of all active and inactive participants	2013-01-01	140
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	2
Total participants	2013-01-01	142
Number of participants with account balances	2013-01-01	138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: THE MEADOWS AT WESTFALL 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	159
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	75
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	67
Total of all active and inactive participants	2012-01-01	142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	2
Total participants	2012-01-01	144
Number of participants with account balances	2012-01-01	141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: THE MEADOWS AT WESTFALL 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	151
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	150
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	7
Total of all active and inactive participants	2011-01-01	157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	2
Total participants	2011-01-01	159
Number of participants with account balances	2011-01-01	132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on THE MEADOWS AT WESTFALL 403(B) PLAN

Measure	Date	Value
2015 : THE MEADOWS AT WESTFALL 403(B) PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$9,645
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$7,186
Total income from all sources (including contributions)	2015-12-31	$468,803
Total of all expenses incurred	2015-12-31	$87,042
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$87,042
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$438,006
Value of total assets at end of year	2015-12-31	$4,191,415
Value of total assets at beginning of year	2015-12-31	$3,807,195
Total interest from all sources	2015-12-31	$23,268
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$363,786
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$5,045
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$9,645
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$7,186
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$381,761
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$4,181,770
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$3,800,009
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$3,006,239
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$2,746,491
Value of interest in pooled separate accounts at end of year	2015-12-31	$402,814
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$359,475
Interest on participant loans	2015-12-31	$1
Interest earned on other investments	2015-12-31	$23,267
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$782,362
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$701,229
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-22,406
Net investment gain/loss from pooled separate accounts	2015-12-31	$29,935
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$69,175
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$87,042
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	HEVERON & COMPANY CPAS, PLLC
Accountancy firm EIN	2015-12-31	271895149
2014 : THE MEADOWS AT WESTFALL 403(B) PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$7,186
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$7,070
Total income from all sources (including contributions)	2014-12-31	$587,241
Total of all expenses incurred	2014-12-31	$121,160
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$121,160
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$382,324
Value of total assets at end of year	2014-12-31	$3,807,195
Value of total assets at beginning of year	2014-12-31	$3,340,998
Total interest from all sources	2014-12-31	$21,906
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$318,367
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$7,186
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$7,070
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$466,081
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$3,800,009
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$3,333,928
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$2,746,491
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$2,318,391
Value of interest in pooled separate accounts at end of year	2014-12-31	$359,475
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$421,479
Interest earned on other investments	2014-12-31	$21,906
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$701,229
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$601,128
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$145,715
Net investment gain or loss from common/collective trusts	2014-12-31	$37,296
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$63,957
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$121,160
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	HEVERON & COMPANY
Accountancy firm EIN	2014-12-31	271895149
2013 : THE MEADOWS AT WESTFALL 403(B) PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$7,070
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$6,734
Total income from all sources (including contributions)	2013-12-31	$796,756
Total of all expenses incurred	2013-12-31	$285,536
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$285,536
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$333,656
Value of total assets at end of year	2013-12-31	$3,340,998
Value of total assets at beginning of year	2013-12-31	$2,829,442
Total interest from all sources	2013-12-31	$19,877
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$277,965
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$7,070
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$6,734
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$511,220
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$3,333,928
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$2,822,708
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$2,318,391
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$1,914,719
Value of interest in pooled separate accounts at end of year	2013-12-31	$421,479
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$357,598
Interest earned on other investments	2013-12-31	$19,877
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$601,128
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$557,125
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$407,536
Net investment gain/loss from pooled separate accounts	2013-12-31	$35,687
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$55,691
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$285,536
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	HEVERON & CO. CPAS PLLC
Accountancy firm EIN	2013-12-31	271895149
2012 : THE MEADOWS AT WESTFALL 403(B) PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$6,734
Total income from all sources (including contributions)	2012-12-31	$578,217
Total of all expenses incurred	2012-12-31	$142,740
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$142,740
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$335,103
Value of total assets at end of year	2012-12-31	$2,829,442
Value of total assets at beginning of year	2012-12-31	$2,387,231
Total interest from all sources	2012-12-31	$17,636
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$284,987
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$6,734
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$435,477
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$2,822,708
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,387,231
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$1,914,719
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,600,498
Value of interest in pooled separate accounts at end of year	2012-12-31	$357,598
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$290,144
Interest on participant loans	2012-12-31	$2
Interest earned on other investments	2012-12-31	$17,634
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$557,125
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$496,589
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$194,704
Net investment gain/loss from pooled separate accounts	2012-12-31	$30,774
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$50,116
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$142,740
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	HEVERON & COMPANY CPAS, PLLC
Accountancy firm EIN	2012-12-31	271895149
2011 : THE MEADOWS AT WESTFALL 403(B) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets to this plan	2011-12-31	$9,240
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$339,415
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$55,860
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$55,860
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$334,777
Value of total assets at end of year	2011-12-31	$2,387,231
Value of total assets at beginning of year	2011-12-31	$2,094,436
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$0
Total interest from all sources	2011-12-31	$15,090
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$175,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$272,795
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$8,071
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$283,555
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,387,231
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,094,436
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$1,600,498
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,460,203
Value of interest in pooled separate accounts at end of year	2011-12-31	$290,144
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$203,256
Interest earned on other investments	2011-12-31	$15,090
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$496,589
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$430,977
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-38,148
Net investment gain/loss from pooled separate accounts	2011-12-31	$27,696
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$53,911
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$55,860
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	HEVERON & HEVERON, CPAS
Accountancy firm EIN	2011-12-31	271895149

Form 5500 Responses for THE MEADOWS AT WESTFALL 403(B) PLAN

2015: THE MEADOWS AT WESTFALL 403(B) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: THE MEADOWS AT WESTFALL 403(B) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: THE MEADOWS AT WESTFALL 403(B) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: THE MEADOWS AT WESTFALL 403(B) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: THE MEADOWS AT WESTFALL 403(B) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	THE MEADOWS AT WESTFALL INC.
Employer identification number (EIN):	161502303
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities