401k Plan data: ARISTACARE AT WHITING 401K PLAN plan

ARISTACARE AT WHITING 401K PLAN 401k Plan overview

Plan Name	ARISTACARE AT WHITING 401K PLAN
Plan identification number	001

ARISTACARE AT WHITING 401K PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
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.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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.

401k Sponsoring company profile

ARISTACARE AT WHITING has sponsored the creation of one or more 401k plans.

Company Name: ARISTACARE AT WHITING

Employer identification number (EIN): 262429737

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ARISTACARE AT WHITING 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01
001 2018-01-01
001 2017-01-01 SIDNEY GREENBERGER
001 2017-01-01 SIDNEY GREENBERGER
001 2016-01-01 SIDNEY GREENBERGER
001 2015-01-01 SIDNEY GREENBERGER
001 2014-01-01 SIDNEY GREENBERGER
001 2013-01-01 SIDNEY GREENBERGER
001 2012-01-01 SIDNEY GREENBERGER 2013-07-29
001 2011-01-01 SIDNEY GREENBERGER 2012-06-03
001 2010-01-01 SIDNEY GREENBERGER 2011-08-16

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2019-01-01
001	2018-01-01
001	2017-01-01	SIDNEY GREENBERGER
001	2017-01-01	SIDNEY GREENBERGER
001	2016-01-01	SIDNEY GREENBERGER
001	2015-01-01	SIDNEY GREENBERGER
001	2014-01-01	SIDNEY GREENBERGER
001	2013-01-01	SIDNEY GREENBERGER
001	2012-01-01	SIDNEY GREENBERGER	2013-07-29
001	2011-01-01	SIDNEY GREENBERGER	2012-06-03
001	2010-01-01	SIDNEY GREENBERGER	2011-08-16

Plan Statistics for ARISTACARE AT WHITING 401K PLAN

401k plan membership statisitcs for ARISTACARE AT WHITING 401K PLAN

Measure Date Value
2019: ARISTACARE AT WHITING 401K PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 112
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 0
Total participants 2019-01-01 0
Number of participants with account balances 2019-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 1
2018: ARISTACARE AT WHITING 401K PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 119
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 104
Number of other retired or separated participants entitled to future benefits 2018-01-01 8
Total of all active and inactive participants 2018-01-01 112
Total participants 2018-01-01 112
Number of participants with account balances 2018-01-01 39
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 2
2017: ARISTACARE AT WHITING 401K PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 106
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 90
Number of other retired or separated participants entitled to future benefits 2017-01-01 9
Total of all active and inactive participants 2017-01-01 99
Total participants 2017-01-01 99
Number of participants with account balances 2017-01-01 36
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 3
2016: ARISTACARE AT WHITING 401K PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 108
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 90
Number of other retired or separated participants entitled to future benefits 2016-01-01 7
Total of all active and inactive participants 2016-01-01 97
Total participants 2016-01-01 97
Number of participants with account balances 2016-01-01 31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 2
2015: ARISTACARE AT WHITING 401K PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 114
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 94
Number of other retired or separated participants entitled to future benefits 2015-01-01 6
Total of all active and inactive participants 2015-01-01 100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 1
Total participants 2015-01-01 101
Number of participants with account balances 2015-01-01 35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 1
2014: ARISTACARE AT WHITING 401K PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 136
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 113
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 8
Total of all active and inactive participants 2014-01-01 121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 121
Number of participants with account balances 2014-01-01 32
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1
2013: ARISTACARE AT WHITING 401K PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 125
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 121
Number of other retired or separated participants entitled to future benefits 2013-01-01 7
Total of all active and inactive participants 2013-01-01 128
Total participants 2013-01-01 128
Number of participants with account balances 2013-01-01 34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 4

Measure	Date	Value
2019: ARISTACARE AT WHITING 401K PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	112
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	0
Total participants	2019-01-01	0
Number of participants with account balances	2019-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	1
2018: ARISTACARE AT WHITING 401K PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	119
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	104
Number of other retired or separated participants entitled to future benefits	2018-01-01	8
Total of all active and inactive participants	2018-01-01	112
Total participants	2018-01-01	112
Number of participants with account balances	2018-01-01	39
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	2
2017: ARISTACARE AT WHITING 401K PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	106
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	90
Number of other retired or separated participants entitled to future benefits	2017-01-01	9
Total of all active and inactive participants	2017-01-01	99
Total participants	2017-01-01	99
Number of participants with account balances	2017-01-01	36
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	3
2016: ARISTACARE AT WHITING 401K PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	90
Number of other retired or separated participants entitled to future benefits	2016-01-01	7
Total of all active and inactive participants	2016-01-01	97
Total participants	2016-01-01	97
Number of participants with account balances	2016-01-01	31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	2
2015: ARISTACARE AT WHITING 401K PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	94
Number of other retired or separated participants entitled to future benefits	2015-01-01	6
Total of all active and inactive participants	2015-01-01	100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	1
Total participants	2015-01-01	101
Number of participants with account balances	2015-01-01	35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	1
2014: ARISTACARE AT WHITING 401K PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	136
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	113
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	8
Total of all active and inactive participants	2014-01-01	121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	121
Number of participants with account balances	2014-01-01	32
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1
2013: ARISTACARE AT WHITING 401K PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	125
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	121
Number of other retired or separated participants entitled to future benefits	2013-01-01	7
Total of all active and inactive participants	2013-01-01	128
Total participants	2013-01-01	128
Number of participants with account balances	2013-01-01	34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	4

Financial Data on ARISTACARE AT WHITING 401K PLAN

Measure	Date	Value
2019 : ARISTACARE AT WHITING 401K PLAN 2019 401k financial data
Total transfer of assets from this plan	2019-12-31	$1,225,696
Total transfer of assets from this plan	2019-12-31	$1,225,696
Total income from all sources (including contributions)	2019-12-31	$333,432
Total income from all sources (including contributions)	2019-12-31	$333,432
Total of all expenses incurred	2019-12-31	$33,406
Total of all expenses incurred	2019-12-31	$33,406
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$33,406
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$33,406
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$154,254
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$154,254
Value of total assets at end of year	2019-12-31	$0
Value of total assets at end of year	2019-12-31	$0
Value of total assets at beginning of year	2019-12-31	$925,670
Value of total assets at beginning of year	2019-12-31	$925,670
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$122,569
Value of fidelity bond cover	2019-12-31	$122,569
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$126,888
Contributions received from participants	2019-12-31	$126,888
Participant contributions at end of year	2019-12-31	$0
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$8,376
Participant contributions at beginning of year	2019-12-31	$8,376
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$300,026
Value of net income/loss	2019-12-31	$300,026
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$0
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$925,670
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$925,670
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in pooled separate accounts at end of year	2019-12-31	$0
Value of interest in pooled separate accounts at end of year	2019-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$915,439
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$915,439
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$179,178
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$179,178
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$27,366
Contributions received in cash from employer	2019-12-31	$27,366
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$1,855
Employer contributions (assets) at beginning of year	2019-12-31	$1,855
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$33,406
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$33,406
Did the plan have assets held for investment	2019-12-31	No
Did the plan have assets held for investment	2019-12-31	No
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	2019-12-31	No
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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	FASTEN HALBERSTAM LLP
Accountancy firm name	2019-12-31	FASTEN HALBERSTAM LLP
Accountancy firm EIN	2019-12-31	472319109
Accountancy firm EIN	2019-12-31	472319109
2018 : ARISTACARE AT WHITING 401K PLAN 2018 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$200
Total income from all sources (including contributions)	2018-12-31	$69,187
Total of all expenses incurred	2018-12-31	$38,456
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$38,456
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$141,612
Value of total assets at end of year	2018-12-31	$925,670
Value of total assets at beginning of year	2018-12-31	$895,139
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$92,567
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$117,084
Participant contributions at end of year	2018-12-31	$8,376
Participant contributions at beginning of year	2018-12-31	$8,535
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$200
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$30,731
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$925,670
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$894,939
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in pooled separate accounts at end of year	2018-12-31	$915,439
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$884,687
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-72,425
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$24,528
Employer contributions (assets) at end of year	2018-12-31	$1,855
Employer contributions (assets) at beginning of year	2018-12-31	$1,917
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$38,456
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	FASTEN HALBERSTAM LLP
Accountancy firm EIN	2018-12-31	472319109
2017 : ARISTACARE AT WHITING 401K PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$200
Total income from all sources (including contributions)	2017-12-31	$224,983
Total of all expenses incurred	2017-12-31	$130,718
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$130,718
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$123,678
Value of total assets at end of year	2017-12-31	$895,139
Value of total assets at beginning of year	2017-12-31	$800,674
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$89,493
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$101,116
Participant contributions at end of year	2017-12-31	$8,535
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$200
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$94,265
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$894,939
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$800,674
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$884,687
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$800,674
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$101,305
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$22,562
Employer contributions (assets) at end of year	2017-12-31	$1,917
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$130,718
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	FASTEN HALBERSTAM LLP
Accountancy firm EIN	2017-12-31	472319109
2016 : ARISTACARE AT WHITING 401K PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$162,286
Total of all expenses incurred	2016-12-31	$148,513
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$148,513
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$123,016
Value of total assets at end of year	2016-12-31	$800,674
Value of total assets at beginning of year	2016-12-31	$786,901
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$80,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$101,138
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$13,773
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$800,674
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$786,901
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$800,674
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$786,901
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$39,270
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$21,878
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$148,513
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	DAVID FISCH & CO.
Accountancy firm EIN	2016-12-31	133624679
2015 : ARISTACARE AT WHITING 401K PLAN 2015 401k financial data
Total transfer of assets from this plan	2015-12-31	$54,176
Total income from all sources (including contributions)	2015-12-31	$125,923
Total of all expenses incurred	2015-12-31	$13,415
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$13,415
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$141,838
Value of total assets at end of year	2015-12-31	$786,901
Value of total assets at beginning of year	2015-12-31	$728,569
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	$79,000
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	$118,127
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	$112,508
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$786,901
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$728,569
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	$786,901
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$728,569
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-15,915
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	$23,711
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$13,415
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	DAVID FISCH & CO. CPAS PA
Accountancy firm EIN	2015-12-31	133624679
2014 : ARISTACARE AT WHITING 401K PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$139,196
Total of all expenses incurred	2014-12-31	$8,596
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$8,596
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$120,032
Value of total assets at end of year	2014-12-31	$728,569
Value of total assets at beginning of year	2014-12-31	$597,969
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	$100,000
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	$101,110
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	$130,600
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$728,569
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$597,969
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	$728,569
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$597,969
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$19,164
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	$18,922
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$8,596
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	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	DAVID FISCH & CO. CPAS PA
Accountancy firm EIN	2014-12-31	133624679
2013 : ARISTACARE AT WHITING 401K PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$172,989
Total of all expenses incurred	2013-12-31	$51,798
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$51,798
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$125,567
Value of total assets at end of year	2013-12-31	$597,969
Value of total assets at beginning of year	2013-12-31	$476,778
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
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$103,194
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	$121,191
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$597,969
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$476,778
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	$597,969
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$476,778
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$47,422
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	$22,373
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$51,798
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	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	DAVID FISCH & CO CPAS PC
Accountancy firm EIN	2013-12-31	133624679

Form 5500 Responses for ARISTACARE AT WHITING 401K PLAN

2019: ARISTACARE AT WHITING 401K PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	This submission is the final filing	Yes
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: ARISTACARE AT WHITING 401K PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: ARISTACARE AT WHITING 401K PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: ARISTACARE AT WHITING 401K PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: ARISTACARE AT WHITING 401K 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 - Trust	Yes
2014: ARISTACARE AT WHITING 401K 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 - Trust	Yes
2013: ARISTACARE AT WHITING 401K 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 - Trust	Yes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

350-01009

Policy instance

Insurance contract or identification number	350-01009
Number of Individuals Covered	42
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $5,315
Total amount of fees paid to insurance company	USD $1,129
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,315
Amount paid for insurance broker fees	1129
Insurance broker organization code?	5

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

350-01009

Policy instance

Insurance contract or identification number	350-01009
Number of Individuals Covered	115
Total amount of commissions paid to insurance broker	USD $5,711
Total amount of fees paid to insurance company	USD $1,079
Commission paid to Insurance Broker	USD $5,711
Amount paid for insurance broker fees	1079

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

350-01009

Policy instance

Insurance contract or identification number	350-01009
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $4,921
Total amount of fees paid to insurance company	USD $1,025
Commission paid to Insurance Broker	USD $4,921
Amount paid for insurance broker fees	1025
Insurance broker organization code?	4
Insurance broker name	WALNUT STREET SECURITIES

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

350-01009

Policy instance

Insurance contract or identification number	350-01009
Number of Individuals Covered	35
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $4,375
Total amount of fees paid to insurance company	USD $963
Commission paid to Insurance Broker	USD $4,375
Amount paid for insurance broker fees	963
Insurance broker organization code?	4
Insurance broker name	WALNUT STREET SECURITIES

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

350-01009

Policy instance

Insurance contract or identification number	350-01009
Number of Individuals Covered	132
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of fees paid to insurance company	USD $3,961
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Amount paid for insurance broker fees	3961
Additional information about fees paid to insurance broker	861
Insurance broker organization code?	4
Insurance broker name	WALNUT STREET SECURITIES

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

350-01009

Policy instance

Insurance contract or identification number	350-01009
Number of Individuals Covered	125
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of fees paid to insurance company	USD $3,182
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	3182
Additional information about fees paid to insurance broker	660
Insurance broker organization code?	4
Insurance broker name	WALNUT STREET SECURITIES

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Company Name:	ARISTACARE AT WHITING
Employer identification number (EIN):	262429737
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities