401k Plan data: CRESTVIEW MANOR 401K RETIREMENT PLAN plan

CRESTVIEW MANOR 401K RETIREMENT PLAN 401k Plan overview

Plan Name	CRESTVIEW MANOR 401K RETIREMENT PLAN
Plan identification number	001

CRESTVIEW MANOR 401K RETIREMENT PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	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.

401k Sponsoring company profile

COMMUNITY PROGRESS COMMITTEE INC. D/B/A CRESTVIEW MANOR has sponsored the creation of one or more 401k plans.

Company Name: COMMUNITY PROGRESS COMMITTEE INC. D/B/A CRESTVIEW MANOR

Employer identification number (EIN): 237442515

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CRESTVIEW MANOR 401K RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-01-01 JAMES STEIN
001 2010-01-01 JAMES STEIN
001 2009-01-01 JAMES STEIN

Plan id#	Filing Submission Date	Name of Administrator
001	2011-01-01	JAMES STEIN
001	2010-01-01	JAMES STEIN
001	2009-01-01	JAMES STEIN

Plan Statistics for CRESTVIEW MANOR 401K RETIREMENT PLAN

401k plan membership statisitcs for CRESTVIEW MANOR 401K RETIREMENT PLAN

Measure Date Value
2011: CRESTVIEW MANOR 401K RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 21
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 10
Number of other retired or separated participants entitled to future benefits 2011-01-01 10
Total of all active and inactive participants 2011-01-01 20
Total participants 2011-01-01 20
Number of participants with account balances 2011-01-01 20
2010: CRESTVIEW MANOR 401K RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 21
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 6
Number of other retired or separated participants entitled to future benefits 2010-01-01 15
Total of all active and inactive participants 2010-01-01 21
Total participants 2010-01-01 21
Number of participants with account balances 2010-01-01 21
2009: CRESTVIEW MANOR 401K RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 8
Number of other retired or separated participants entitled to future benefits 2009-01-01 13
Total of all active and inactive participants 2009-01-01 21
Total participants 2009-01-01 21
Number of participants with account balances 2009-01-01 21

Measure	Date	Value
2011: CRESTVIEW MANOR 401K RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	21
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	10
Number of other retired or separated participants entitled to future benefits	2011-01-01	10
Total of all active and inactive participants	2011-01-01	20
Total participants	2011-01-01	20
Number of participants with account balances	2011-01-01	20
2010: CRESTVIEW MANOR 401K RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	21
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	6
Number of other retired or separated participants entitled to future benefits	2010-01-01	15
Total of all active and inactive participants	2010-01-01	21
Total participants	2010-01-01	21
Number of participants with account balances	2010-01-01	21
2009: CRESTVIEW MANOR 401K RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	8
Number of other retired or separated participants entitled to future benefits	2009-01-01	13
Total of all active and inactive participants	2009-01-01	21
Total participants	2009-01-01	21
Number of participants with account balances	2009-01-01	21

Financial Data on CRESTVIEW MANOR 401K RETIREMENT PLAN

Measure	Date	Value
2011 : CRESTVIEW MANOR 401K RETIREMENT PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$8,089
Expenses. Total of all expenses incurred	2011-12-31	$1,582
Benefits paid (including direct rollovers)	2011-12-31	$1,582
Total plan assets at end of year	2011-12-31	$181,289
Total plan assets at beginning of year	2011-12-31	$174,782
Total contributions received or receivable from participants	2011-12-31	$6,075
Other income received	2011-12-31	$2,014
Net income (gross income less expenses)	2011-12-31	$6,507
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$181,289
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$174,782
2010 : CRESTVIEW MANOR 401K RETIREMENT PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$23,938
Expenses. Total of all expenses incurred	2010-12-31	$0
Benefits paid (including direct rollovers)	2010-12-31	$0
Total plan assets at end of year	2010-12-31	$174,782
Total plan assets at beginning of year	2010-12-31	$150,844
Total contributions received or receivable from participants	2010-12-31	$6,600
Other income received	2010-12-31	$17,338
Net income (gross income less expenses)	2010-12-31	$23,938
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$174,782
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$150,844
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0

Form 5500 Responses for CRESTVIEW MANOR 401K RETIREMENT PLAN

2011: CRESTVIEW MANOR 401K RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: CRESTVIEW MANOR 401K RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: CRESTVIEW MANOR 401K RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	COMMUNITY PROGRESS COMMITTEE INC. D/B/A CRESTVIEW MANOR
Employer identification number (EIN):	237442515
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities