401k Plan data: FOUNDATION FOR ADULT LIVING 401(K) PLAN plan

FOUNDATION FOR ADULT LIVING 401(K) PLAN 401k Plan overview

Plan Name	FOUNDATION FOR ADULT LIVING 401(K) PLAN
Plan identification number	001

FOUNDATION FOR ADULT LIVING 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

FOUNDATION FOR ADULT LIVING, INC. has sponsored the creation of one or more 401k plans.

Company Name: FOUNDATION FOR ADULT LIVING, INC.

Employer identification number (EIN): 204168841

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FOUNDATION FOR ADULT LIVING 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 RONALD SWARTZ
001 2014-01-01 RONALD SWARTZ
001 2014-01-01 RONALD SWARTZ
001 2013-01-01 RONALD SWARTZ
001 2012-01-01 RONALD SWARTZ
001 2011-01-01 WILLIAM MANDO, CFO GREYSTONE HEALTH
001 2010-01-01 WILLIAM MANDO, CFO GREYSTONE HEALTH
001 2009-01-01 WILLIAM P. MANDO WILLIAM P. MANDO 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2015-01-01	RONALD SWARTZ
001	2014-01-01	RONALD SWARTZ
001	2014-01-01	RONALD SWARTZ
001	2013-01-01	RONALD SWARTZ
001	2012-01-01	RONALD SWARTZ
001	2011-01-01	WILLIAM MANDO, CFO GREYSTONE HEALTH
001	2010-01-01	WILLIAM MANDO, CFO GREYSTONE HEALTH
001	2009-01-01	WILLIAM P. MANDO	WILLIAM P. MANDO	2010-10-15

Plan Statistics for FOUNDATION FOR ADULT LIVING 401(K) PLAN

401k plan membership statisitcs for FOUNDATION FOR ADULT LIVING 401(K) PLAN

Measure Date Value
2015: FOUNDATION FOR ADULT LIVING 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
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 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: FOUNDATION FOR ADULT LIVING 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 173
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
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 14
Total of all active and inactive participants 2014-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 14
Number of participants with account balances 2014-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: FOUNDATION FOR ADULT LIVING 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 138
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 169
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 4
Total of all active and inactive participants 2013-01-01 173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 173
Number of participants with account balances 2013-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: FOUNDATION FOR ADULT LIVING 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 478
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 130
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 8
Total of all active and inactive participants 2012-01-01 138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 138
Number of participants with account balances 2012-01-01 24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: FOUNDATION FOR ADULT LIVING 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 413
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 476
Number of other retired or separated participants entitled to future benefits 2011-01-01 2
Total of all active and inactive participants 2011-01-01 478
Total participants 2011-01-01 478
Number of participants with account balances 2011-01-01 23
2010: FOUNDATION FOR ADULT LIVING 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 340
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 405
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 8
Total of all active and inactive participants 2010-01-01 413
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 413
Number of participants with account balances 2010-01-01 28
2009: FOUNDATION FOR ADULT LIVING 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 455
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 339
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 1
Total of all active and inactive participants 2009-01-01 340
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 340
Number of participants with account balances 2009-01-01 28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2015: FOUNDATION FOR ADULT LIVING 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
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	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: FOUNDATION FOR ADULT LIVING 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	173
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
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	14
Total of all active and inactive participants	2014-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	14
Number of participants with account balances	2014-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: FOUNDATION FOR ADULT LIVING 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	138
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	169
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	4
Total of all active and inactive participants	2013-01-01	173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	173
Number of participants with account balances	2013-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: FOUNDATION FOR ADULT LIVING 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	478
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	130
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	8
Total of all active and inactive participants	2012-01-01	138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	138
Number of participants with account balances	2012-01-01	24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: FOUNDATION FOR ADULT LIVING 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	413
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	476
Number of other retired or separated participants entitled to future benefits	2011-01-01	2
Total of all active and inactive participants	2011-01-01	478
Total participants	2011-01-01	478
Number of participants with account balances	2011-01-01	23
2010: FOUNDATION FOR ADULT LIVING 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	340
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	405
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	8
Total of all active and inactive participants	2010-01-01	413
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	413
Number of participants with account balances	2010-01-01	28
2009: FOUNDATION FOR ADULT LIVING 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	455
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	339
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	1
Total of all active and inactive participants	2009-01-01	340
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	340
Number of participants with account balances	2009-01-01	28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on FOUNDATION FOR ADULT LIVING 401(K) PLAN

Measure	Date	Value
2015 : FOUNDATION FOR ADULT LIVING 401(K) PLAN 2015 401k financial data
Total income from all sources	2015-09-30	$-1,920
Expenses. Total of all expenses incurred	2015-09-30	$203,162
Benefits paid (including direct rollovers)	2015-09-30	$202,428
Total plan assets at end of year	2015-09-30	$0
Total plan assets at beginning of year	2015-09-30	$205,082
Value of fidelity bond covering the plan	2015-09-30	$500,000
Expenses. Other expenses not covered elsewhere	2015-09-30	$734
Other income received	2015-09-30	$-1,920
Net income (gross income less expenses)	2015-09-30	$-205,082
Net plan assets at end of year (total assets less liabilities)	2015-09-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-09-30	$205,082
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-09-30	$0
2014 : FOUNDATION FOR ADULT LIVING 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$20,358
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$22,166
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$20,781
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$6,560
Value of total assets at end of year	2014-12-31	$205,082
Value of total assets at beginning of year	2014-12-31	$206,890
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$1,385
Total interest from all sources	2014-12-31	$104
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$8,317
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2014-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$8,317
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$6,560
Participant contributions at end of year	2014-12-31	$5,321
Participant contributions at beginning of year	2014-12-31	$6,152
Administrative expenses (other) incurred	2014-12-31	$1,385
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	$-1,808
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$205,082
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$206,890
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	$171,950
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$102,911
Interest on participant loans	2014-12-31	$104
Value of interest in common/collective trusts at end of year	2014-12-31	$27,811
Value of interest in common/collective trusts at beginning of year	2014-12-31	$97,827
Net investment gain or loss from common/collective trusts	2014-12-31	$1,090
Net gain/loss from 103.12 investment entities	2014-12-31	$4,287
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$20,781
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	HLB GROSS COLLINS, P.C
Accountancy firm EIN	2014-12-31	581367012
2013 : FOUNDATION FOR ADULT LIVING 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$57,552
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$56,219
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$39,248
Value of total corrective distributions	2013-12-31	$16,345
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$14,915
Value of total assets at end of year	2013-12-31	$206,890
Value of total assets at beginning of year	2013-12-31	$205,557
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$626
Total interest from all sources	2013-12-31	$106
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$997
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$997
Administrative expenses professional fees incurred	2013-12-31	$536
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$265,000
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	$14,915
Participant contributions at end of year	2013-12-31	$6,152
Participant contributions at beginning of year	2013-12-31	$17,609
Other income not declared elsewhere	2013-12-31	$859
Administrative expenses (other) incurred	2013-12-31	$90
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	$1,333
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$206,890
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$205,557
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	$102,911
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$107,294
Interest on participant loans	2013-12-31	$106
Value of interest in common/collective trusts at end of year	2013-12-31	$97,827
Value of interest in common/collective trusts at beginning of year	2013-12-31	$80,654
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$29,478
Net investment gain or loss from common/collective trusts	2013-12-31	$11,197
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$39,248
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	HLB GROSS COLLINS, P.C
Accountancy firm EIN	2013-12-31	581367012
2012 : FOUNDATION FOR ADULT LIVING 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$57,900
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$76,584
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$60,866
Value of total corrective distributions	2012-12-31	$15,056
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$34,468
Value of total assets at end of year	2012-12-31	$205,557
Value of total assets at beginning of year	2012-12-31	$224,241
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$662
Total interest from all sources	2012-12-31	$369
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$2,019
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$2,019
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$265,000
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	$34,468
Participant contributions at end of year	2012-12-31	$17,609
Participant contributions at beginning of year	2012-12-31	$23,069
Other income not declared elsewhere	2012-12-31	$416
Administrative expenses (other) incurred	2012-12-31	$662
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	$-18,684
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$205,557
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$224,241
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	$107,294
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$94,742
Income. Interest from loans (other than to participants)	2012-12-31	$369
Value of interest in common/collective trusts at end of year	2012-12-31	$80,654
Value of interest in common/collective trusts at beginning of year	2012-12-31	$106,430
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$14,444
Net investment gain or loss from common/collective trusts	2012-12-31	$6,184
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$60,866
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	PDR CERTIFIED PUBLIC ACCOUNTANTS
Accountancy firm EIN	2012-12-31	591687531
2011 : FOUNDATION FOR ADULT LIVING 401(K) PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$127
Total unrealized appreciation/depreciation of assets	2011-12-31	$127
Total income from all sources (including contributions)	2011-12-31	$40,146
Total of all expenses incurred	2011-12-31	$4,041
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$3,771
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$41,765
Value of total assets at end of year	2011-12-31	$224,241
Value of total assets at beginning of year	2011-12-31	$188,136
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$270
Total interest from all sources	2011-12-31	$414
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$983
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$983
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$265,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$41,765
Participant contributions at end of year	2011-12-31	$23,069
Participant contributions at beginning of year	2011-12-31	$23,173
Administrative expenses (other) incurred	2011-12-31	$70
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	$36,105
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$224,241
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$188,136
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	$94,742
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$69,684
Interest on participant loans	2011-12-31	$414
Value of interest in common/collective trusts at end of year	2011-12-31	$106,430
Value of interest in common/collective trusts at beginning of year	2011-12-31	$95,279
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-3,916
Net investment gain or loss from common/collective trusts	2011-12-31	$773
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	Yes
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$3,771
Contract administrator fees	2011-12-31	$200
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
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	PDR CERTIFIED PUBLIC ACCOUNTANTS
Accountancy firm EIN	2011-12-31	591687531
2010 : FOUNDATION FOR ADULT LIVING 401(K) PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$39,924
Total of all expenses incurred	2010-12-31	$10,066
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$9,907
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$25,168
Value of total assets at end of year	2010-12-31	$188,136
Value of total assets at beginning of year	2010-12-31	$158,278
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$159
Total interest from all sources	2010-12-31	$258
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$1,079
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$1,079
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$265,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$25,168
Participant contributions at end of year	2010-12-31	$23,173
Participant contributions at beginning of year	2010-12-31	$19,040
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$29,858
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$188,136
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$158,278
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$69,684
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$58,800
Interest on participant loans	2010-12-31	$245
Value of interest in common/collective trusts at end of year	2010-12-31	$95,279
Value of interest in common/collective trusts at beginning of year	2010-12-31	$80,438
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$13
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$7,065
Net investment gain or loss from common/collective trusts	2010-12-31	$6,354
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$9,907
Contract administrator fees	2010-12-31	$159
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	PDR CERTIFIED PUBLIC ACCOUNTANTS
Accountancy firm EIN	2010-12-31	591687531
2009 : FOUNDATION FOR ADULT LIVING 401(K) PLAN 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 FOUNDATION FOR ADULT LIVING 401(K) PLAN

2015: FOUNDATION FOR ADULT LIVING 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: FOUNDATION FOR ADULT LIVING 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
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 – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: FOUNDATION FOR ADULT LIVING 401(K) 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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: FOUNDATION FOR ADULT LIVING 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: FOUNDATION FOR ADULT LIVING 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: FOUNDATION FOR ADULT LIVING 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: FOUNDATION FOR ADULT LIVING 401(K) 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	FOUNDATION FOR ADULT LIVING, INC.
Employer identification number (EIN):	204168841
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities