401k Plan data: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN plan

ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 401k Plan overview

Plan Name	ST. ANNE HOME EMPLOYEES RETIREMENT PLAN
Plan identification number	001

ST. ANNE HOME EMPLOYEES RETIREMENT 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
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

ST. ANNE HOME OF THE DIOCESE OF FORT WAYNE-SOUTH BEND, INC. has sponsored the creation of one or more 401k plans.

Company Name: ST. ANNE HOME OF THE DIOCESE OF FORT WAYNE-SOUTH BEND, INC.

Employer identification number (EIN): 352024406

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ST. ANNE HOME EMPLOYEES RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 TERESA MILLER 2023-10-11
001 2021-01-01 JUSTINE TUCKER 2022-10-13
001 2020-01-01 JESSICA WALLACE 2021-10-04
001 2019-01-01
001 2018-01-01 JESSICA WALLACE 2019-10-01
001 2017-01-01 DAVID DEFFENBAUGH DAVID DEFFENBAUGH 2018-10-15
001 2017-01-01 DAVID DEFFENBAUGH DAVID DEFFENBAUGH 2018-10-15
001 2017-01-01
001 2016-01-01 DAVID DEFFENBAUGH DAVID DEFFENBAUGH 2017-10-16
001 2015-01-01 MICHAEL S. RORICK MICHAEL S. RORICK 2016-10-17
001 2014-01-01 MICHAEL RORICK MICHAEL RORICK 2015-10-14
001 2013-01-01 JASON WARDWELL
001 2012-01-01 JASON WARDWELL
001 2011-01-01 MARY HAVERSTICK JASON E. WARDWELL 2012-10-13
001 2009-01-01 LORI CARSON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	TERESA MILLER	2023-10-11
001	2021-01-01	JUSTINE TUCKER	2022-10-13
001	2020-01-01	JESSICA WALLACE	2021-10-04
001	2019-01-01
001	2018-01-01	JESSICA WALLACE	2019-10-01
001	2017-01-01	DAVID DEFFENBAUGH		DAVID DEFFENBAUGH	2018-10-15
001	2017-01-01	DAVID DEFFENBAUGH		DAVID DEFFENBAUGH	2018-10-15
001	2017-01-01
001	2016-01-01	DAVID DEFFENBAUGH		DAVID DEFFENBAUGH	2017-10-16
001	2015-01-01	MICHAEL S. RORICK		MICHAEL S. RORICK	2016-10-17
001	2014-01-01	MICHAEL RORICK		MICHAEL RORICK	2015-10-14
001	2013-01-01	JASON WARDWELL
001	2012-01-01	JASON WARDWELL
001	2011-01-01	MARY HAVERSTICK		JASON E. WARDWELL	2012-10-13
001	2009-01-01	LORI CARSON

Plan Statistics for ST. ANNE HOME EMPLOYEES RETIREMENT PLAN

401k plan membership statisitcs for ST. ANNE HOME EMPLOYEES RETIREMENT PLAN

Measure Date Value
2022: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 512
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 435
Number of retired or separated participants receiving benefits 2022-01-01 104
Total of all active and inactive participants 2022-01-01 539
Total participants 2022-01-01 539
Number of participants with account balances 2022-01-01 279
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 11
2021: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 542
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 410
Number of retired or separated participants receiving benefits 2021-01-01 102
Total of all active and inactive participants 2021-01-01 512
Total participants 2021-01-01 512
Number of participants with account balances 2021-01-01 301
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 18
2020: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 449
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 450
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 92
Total of all active and inactive participants 2020-01-01 542
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 542
Number of participants with account balances 2020-01-01 325
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 30
2019: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 348
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 338
Number of retired or separated participants receiving benefits 2019-01-01 1
Number of other retired or separated participants entitled to future benefits 2019-01-01 110
Total of all active and inactive participants 2019-01-01 449
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 449
Number of participants with account balances 2019-01-01 314
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 23
2018: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 567
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 377
Number of retired or separated participants receiving benefits 2018-01-01 20
Number of other retired or separated participants entitled to future benefits 2018-01-01 122
Total of all active and inactive participants 2018-01-01 519
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 519
Number of participants with account balances 2018-01-01 369
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 38
2017: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 589
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 352
Number of retired or separated participants receiving benefits 2017-01-01 60
Number of other retired or separated participants entitled to future benefits 2017-01-01 157
Total of all active and inactive participants 2017-01-01 569
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 569
Number of participants with account balances 2017-01-01 436
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 35
2016: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 528
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 397
Number of retired or separated participants receiving benefits 2016-01-01 21
Number of other retired or separated participants entitled to future benefits 2016-01-01 170
Total of all active and inactive participants 2016-01-01 588
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 588
Number of participants with account balances 2016-01-01 443
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 23
2015: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 418
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 408
Number of retired or separated participants receiving benefits 2015-01-01 8
Number of other retired or separated participants entitled to future benefits 2015-01-01 112
Total of all active and inactive participants 2015-01-01 528
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 528
Number of participants with account balances 2015-01-01 347
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 11
2014: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 368
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 412
Number of retired or separated participants receiving benefits 2014-01-01 3
Number of other retired or separated participants entitled to future benefits 2014-01-01 54
Total of all active and inactive participants 2014-01-01 469
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 469
Number of participants with account balances 2014-01-01 252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 6
2013: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 352
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 325
Number of retired or separated participants receiving benefits 2013-01-01 1
Number of other retired or separated participants entitled to future benefits 2013-01-01 43
Total of all active and inactive participants 2013-01-01 369
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 369
Number of participants with account balances 2013-01-01 193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 4
2012: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 340
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 311
Number of retired or separated participants receiving benefits 2012-01-01 1
Number of other retired or separated participants entitled to future benefits 2012-01-01 36
Total of all active and inactive participants 2012-01-01 348
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 348
Number of participants with account balances 2012-01-01 165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 6
2011: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 323
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 308
Number of retired or separated participants receiving benefits 2011-01-01 2
Number of other retired or separated participants entitled to future benefits 2011-01-01 34
Total of all active and inactive participants 2011-01-01 344
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 344
Number of participants with account balances 2011-01-01 168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 7
2009: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 340
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 313
Number of retired or separated participants receiving benefits 2009-01-01 2
Number of other retired or separated participants entitled to future benefits 2009-01-01 25
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 2009-01-01 129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 2

Measure	Date	Value
2022: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	512
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	435
Number of retired or separated participants receiving benefits	2022-01-01	104
Total of all active and inactive participants	2022-01-01	539
Total participants	2022-01-01	539
Number of participants with account balances	2022-01-01	279
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	11
2021: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	542
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	410
Number of retired or separated participants receiving benefits	2021-01-01	102
Total of all active and inactive participants	2021-01-01	512
Total participants	2021-01-01	512
Number of participants with account balances	2021-01-01	301
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	18
2020: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	449
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	450
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	92
Total of all active and inactive participants	2020-01-01	542
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	542
Number of participants with account balances	2020-01-01	325
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	30
2019: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	348
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	338
Number of retired or separated participants receiving benefits	2019-01-01	1
Number of other retired or separated participants entitled to future benefits	2019-01-01	110
Total of all active and inactive participants	2019-01-01	449
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	449
Number of participants with account balances	2019-01-01	314
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	23
2018: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	567
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	377
Number of retired or separated participants receiving benefits	2018-01-01	20
Number of other retired or separated participants entitled to future benefits	2018-01-01	122
Total of all active and inactive participants	2018-01-01	519
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	519
Number of participants with account balances	2018-01-01	369
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	38
2017: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	589
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	352
Number of retired or separated participants receiving benefits	2017-01-01	60
Number of other retired or separated participants entitled to future benefits	2017-01-01	157
Total of all active and inactive participants	2017-01-01	569
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	569
Number of participants with account balances	2017-01-01	436
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	35
2016: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	528
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	397
Number of retired or separated participants receiving benefits	2016-01-01	21
Number of other retired or separated participants entitled to future benefits	2016-01-01	170
Total of all active and inactive participants	2016-01-01	588
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	588
Number of participants with account balances	2016-01-01	443
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	23
2015: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	418
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	408
Number of retired or separated participants receiving benefits	2015-01-01	8
Number of other retired or separated participants entitled to future benefits	2015-01-01	112
Total of all active and inactive participants	2015-01-01	528
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	528
Number of participants with account balances	2015-01-01	347
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	11
2014: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	368
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	412
Number of retired or separated participants receiving benefits	2014-01-01	3
Number of other retired or separated participants entitled to future benefits	2014-01-01	54
Total of all active and inactive participants	2014-01-01	469
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	469
Number of participants with account balances	2014-01-01	252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	6
2013: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	352
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	325
Number of retired or separated participants receiving benefits	2013-01-01	1
Number of other retired or separated participants entitled to future benefits	2013-01-01	43
Total of all active and inactive participants	2013-01-01	369
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	369
Number of participants with account balances	2013-01-01	193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	4
2012: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	340
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	311
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	36
Total of all active and inactive participants	2012-01-01	348
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	348
Number of participants with account balances	2012-01-01	165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	6
2011: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	323
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	308
Number of retired or separated participants receiving benefits	2011-01-01	2
Number of other retired or separated participants entitled to future benefits	2011-01-01	34
Total of all active and inactive participants	2011-01-01	344
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	344
Number of participants with account balances	2011-01-01	168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	7
2009: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	340
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	313
Number of retired or separated participants receiving benefits	2009-01-01	2
Number of other retired or separated participants entitled to future benefits	2009-01-01	25
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	129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	2

Financial Data on ST. ANNE HOME EMPLOYEES RETIREMENT PLAN

Measure	Date	Value
2022 : ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2022 401k financial data
Total income from all sources (including contributions)	2022-12-31	$-311,256
Total of all expenses incurred	2022-12-31	$650,726
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$602,100
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$441,521
Value of total assets at end of year	2022-12-31	$4,180,399
Value of total assets at beginning of year	2022-12-31	$5,142,381
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$48,626
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$109,693
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$109,693
Administrative expenses professional fees incurred	2022-12-31	$48,626
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$329,800
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$11,507
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-961,982
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$4,180,399
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$5,142,381
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$4,179,352
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$5,142,381
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$1,047
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-862,470
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$100,214
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$602,100
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	HAINES, ISENBARGER & SKIBA,LLC
Accountancy firm EIN	2022-12-31	522127371
2021 : ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2021 401k financial data
Total income from all sources (including contributions)	2021-12-31	$1,223,157
Total of all expenses incurred	2021-12-31	$979,285
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$927,893
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$527,167
Value of total assets at end of year	2021-12-31	$5,142,381
Value of total assets at beginning of year	2021-12-31	$4,898,509
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$51,392
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$372,209
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$372,209
Administrative expenses professional fees incurred	2021-12-31	$51,392
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$383,769
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$32,290
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$243,872
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$5,142,381
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$4,898,509
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$5,142,381
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$4,898,509
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$323,781
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$111,108
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$927,893
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	HAINES, ISENBARGER & SKIBA,LLC
Accountancy firm EIN	2021-12-31	522127371
2020 : ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2020 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$266
Total income from all sources (including contributions)	2020-12-31	$1,139,392
Total of all expenses incurred	2020-12-31	$415,589
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$354,086
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$581,344
Value of total assets at end of year	2020-12-31	$4,898,509
Value of total assets at beginning of year	2020-12-31	$4,174,972
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$61,503
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$105,031
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$105,031
Administrative expenses professional fees incurred	2020-12-31	$61,503
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$427,145
Participant contributions at beginning of year	2020-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$35,414
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$266
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$723,803
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$4,898,509
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$4,174,706
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$4,898,509
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$4,174,972
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$453,017
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$118,785
Employer contributions (assets) at beginning of year	2020-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$354,086
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	HAINES, ISENBARGER & SKIBA,LLC
Accountancy firm EIN	2020-12-31	522127371
2019 : ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$266
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$266
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$1,301,568
Total income from all sources (including contributions)	2019-12-31	$1,301,568
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$847,922
Total of all expenses incurred	2019-12-31	$847,922
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$803,640
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$803,640
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$519,295
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$519,295
Value of total assets at end of year	2019-12-31	$4,174,972
Value of total assets at end of year	2019-12-31	$4,174,972
Value of total assets at beginning of year	2019-12-31	$3,721,060
Value of total assets at beginning of year	2019-12-31	$3,721,060
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$44,282
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$44,282
Total interest from all sources	2019-12-31	$782,273
Total interest from all sources	2019-12-31	$782,273
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
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	$500,000
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	Yes
If this is an individual account plan, was there a blackout period	2019-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
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	$387,645
Contributions received from participants	2019-12-31	$387,645
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	$14,558
Participant contributions at beginning of year	2019-12-31	$14,558
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$14,319
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$14,319
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$266
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$266
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$0
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	$453,646
Value of net income/loss	2019-12-31	$453,646
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$4,174,706
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$4,174,706
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$3,721,060
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$3,721,060
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 registered invesment companies (eg mutual funds) at end of year	2019-12-31	$4,174,972
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$4,174,972
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$3,702,571
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$3,702,571
Interest earned on other investments	2019-12-31	$782,273
Interest earned on other investments	2019-12-31	$782,273
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	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
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	$117,331
Contributions received in cash from employer	2019-12-31	$117,331
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	$3,931
Employer contributions (assets) at beginning of year	2019-12-31	$3,931
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$803,640
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$803,640
Contract administrator fees	2019-12-31	$44,282
Contract administrator fees	2019-12-31	$44,282
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	2019-12-31	Yes
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	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	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	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	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	No
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	HAINES, ISENBARGER & SKIBA, LLC
Accountancy firm name	2019-12-31	HAINES, ISENBARGER & SKIBA, LLC
Accountancy firm EIN	2019-12-31	522127371
Accountancy firm EIN	2019-12-31	522127371
2018 : ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$323
Total income from all sources (including contributions)	2018-12-31	$339,732
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$1,362,214
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,311,328
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$588,915
Value of total assets at end of year	2018-12-31	$3,721,060
Value of total assets at beginning of year	2018-12-31	$4,743,865
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$50,886
Total interest from all sources	2018-12-31	$-249,183
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
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	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$406,333
Participant contributions at end of year	2018-12-31	$14,558
Participant contributions at beginning of year	2018-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$64,344
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$323
Administrative expenses (other) incurred	2018-12-31	$14,463
Total non interest bearing cash at end of year	2018-12-31	$0
Total non interest bearing cash at beginning of year	2018-12-31	$22,687
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	$-1,022,482
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$3,721,060
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$4,743,542
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
Investment advisory and management fees	2018-12-31	$19,777
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$3,702,571
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$4,720,783
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$-249,183
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	No
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	$118,238
Employer contributions (assets) at end of year	2018-12-31	$3,931
Employer contributions (assets) at beginning of year	2018-12-31	$395
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,311,328
Contract administrator fees	2018-12-31	$16,646
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	HAINES, ISENBARGER, & SKIBA LLC
Accountancy firm EIN	2018-12-31	522127371
2017 : ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$226
Total income from all sources (including contributions)	2017-12-31	$1,269,249
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$563,561
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$513,197
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$569,512
Value of total assets at end of year	2017-12-31	$4,743,542
Value of total assets at beginning of year	2017-12-31	$4,038,080
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$50,364
Total interest from all sources	2017-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
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	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$420,569
Participant contributions at end of year	2017-12-31	$395
Participant contributions at beginning of year	2017-12-31	$16,961
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$22,008
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$323
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$226
Total non interest bearing cash at end of year	2017-12-31	$1,284
Total non interest bearing cash at beginning of year	2017-12-31	$1,790
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	$705,688
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$4,743,542
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$4,037,854
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
Investment advisory and management fees	2017-12-31	$16,902
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$4,741,863
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$4,014,066
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$699,737
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	$126,935
Employer contributions (assets) at end of year	2017-12-31	$395
Employer contributions (assets) at beginning of year	2017-12-31	$5,263
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$513,197
Contract administrator fees	2017-12-31	$33,462
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	BADEN GAGE & SCHROEDER
Accountancy firm EIN	2017-12-31	351939627
2016 : ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$226
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$923,843
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$288,869
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$243,178
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$637,728
Value of total assets at end of year	2016-12-31	$4,038,080
Value of total assets at beginning of year	2016-12-31	$3,402,880
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$45,691
Total interest from all sources	2016-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
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	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$396,089
Participant contributions at end of year	2016-12-31	$16,961
Participant contributions at beginning of year	2016-12-31	$139
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$124,007
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$226
Other income not declared elsewhere	2016-12-31	$-1,286
Administrative expenses (other) incurred	2016-12-31	$25,707
Total non interest bearing cash at end of year	2016-12-31	$1,790
Total non interest bearing cash at beginning of year	2016-12-31	$23,475
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	$634,974
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$4,037,854
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$3,402,880
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
Investment advisory and management fees	2016-12-31	$19,984
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$4,014,066
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$3,375,986
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$2,937
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$2,937
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$287,401
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	Yes
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	$117,632
Employer contributions (assets) at end of year	2016-12-31	$5,263
Employer contributions (assets) at beginning of year	2016-12-31	$343
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$243,178
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	BADEN GAGE & SCHROEDER
Accountancy firm EIN	2016-12-31	351939627
2015 : ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$14,158
Total income from all sources (including contributions)	2015-12-31	$386,024
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$189,928
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$152,972
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$430,684
Value of total assets at end of year	2015-12-31	$3,402,880
Value of total assets at beginning of year	2015-12-31	$3,220,942
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$36,956
Total interest from all sources	2015-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$320,832
Participant contributions at end of year	2015-12-31	$139
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$9,163
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$14,158
Other income not declared elsewhere	2015-12-31	$2,082
Administrative expenses (other) incurred	2015-12-31	$18,356
Total non interest bearing cash at end of year	2015-12-31	$23,475
Total non interest bearing cash at beginning of year	2015-12-31	$14,158
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	$196,096
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$3,402,880
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$3,206,784
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
Investment advisory and management fees	2015-12-31	$18,600
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$3,375,986
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$3,203,648
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$2,937
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$1,871
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$1,871
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-46,742
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	$100,689
Employer contributions (assets) at end of year	2015-12-31	$343
Employer contributions (assets) at beginning of year	2015-12-31	$1,265
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$152,972
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	BADEN GAGE & SCHROEDER
Accountancy firm EIN	2015-12-31	351939627
2014 : ST. ANNE HOME EMPLOYEES RETIREMENT 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	$14,158
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$667
Total income from all sources (including contributions)	2014-12-31	$565,225
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$494,158
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$466,144
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$370,268
Value of total assets at end of year	2014-12-31	$3,220,942
Value of total assets at beginning of year	2014-12-31	$3,136,384
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$28,014
Total interest from all sources	2014-12-31	$1,207
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
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	$1,000,000
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	$278,623
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$853
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$14,158
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$667
Administrative expenses (other) incurred	2014-12-31	$14,402
Total non interest bearing cash at end of year	2014-12-31	$14,158
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	$71,067
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$3,206,784
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$3,135,717
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
Investment advisory and management fees	2014-12-31	$13,612
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$3,203,648
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$3,136,374
Interest earned on other investments	2014-12-31	$1,207
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$1,871
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$193,750
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	$90,792
Employer contributions (assets) at end of year	2014-12-31	$1,265
Employer contributions (assets) at beginning of year	2014-12-31	$10
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$466,144
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	BADEN GAGE & SCHROEDER, LLC
Accountancy firm EIN	2014-12-31	351939627
2013 : ST. ANNE HOME EMPLOYEES RETIREMENT 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	$667
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$436
Total income from all sources (including contributions)	2013-12-31	$916,052
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$224,803
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$223,103
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$333,910
Value of total assets at end of year	2013-12-31	$3,136,384
Value of total assets at beginning of year	2013-12-31	$2,444,904
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$1,700
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
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	$1,000,000
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	$256,351
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$2,825
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$667
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$436
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	$691,249
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$3,135,717
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$2,444,468
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	$3,136,374
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$2,444,904
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$582,142
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	$74,734
Employer contributions (assets) at end of year	2013-12-31	$10
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$223,103
Contract administrator fees	2013-12-31	$1,700
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	BADEN GAGE & SCHROEDER, LLC
Accountancy firm EIN	2013-12-31	351939627
2012 : ST. ANNE HOME EMPLOYEES RETIREMENT 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	$436
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	$651,376
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$625,770
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$623,951
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$327,433
Value of total assets at end of year	2012-12-31	$2,444,904
Value of total assets at beginning of year	2012-12-31	$2,418,862
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$1,819
Total interest from all sources	2012-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
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	$1,000,000
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	$253,853
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$436
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	$25,606
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$2,444,468
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,418,862
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	$2,444,904
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$2,418,862
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$323,943
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	$73,580
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$623,951
Contract administrator fees	2012-12-31	$1,819
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	BADEN GAGE & SCHROEDER, LLC
Accountancy firm EIN	2012-12-31	351939627
2011 : ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
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	$320
Total income from all sources (including contributions)	2011-12-31	$528,364
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$73,535
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$73,535
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$503,769
Value of total assets at end of year	2011-12-31	$2,418,862
Value of total assets at beginning of year	2011-12-31	$1,964,353
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$0
Total interest from all sources	2011-12-31	$0
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	$1,000,000
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	$235,289
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$194,667
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$320
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	$454,829
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,418,862
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,964,033
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	$2,418,862
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,964,029
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$24,595
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	$73,813
Employer contributions (assets) at beginning of year	2011-12-31	$324
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$73,535
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	BADEN GAGE & SCHROEDER, LLC
Accountancy firm EIN	2011-12-31	351939627
2010 : ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$320
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$442,083
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$82,930
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$82,610
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$251,925
Value of total assets at end of year	2010-12-31	$1,964,353
Value of total assets at beginning of year	2010-12-31	$1,604,880
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$320
Total interest from all sources	2010-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
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	$189,914
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$806
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$320
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$0
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	$359,153
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,964,033
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,604,880
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	$1,964,029
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$1,604,755
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$190,158
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
Contributions received in cash from employer	2010-12-31	$61,205
Employer contributions (assets) at end of year	2010-12-31	$324
Employer contributions (assets) at beginning of year	2010-12-31	$125
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$82,610
Contract administrator fees	2010-12-31	$320
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	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	BADEN, GAGE & SCHROEDER LLC
Accountancy firm EIN	2010-12-31	351939627
2009 : ST. ANNE HOME EMPLOYEES RETIREMENT 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 ST. ANNE HOME EMPLOYEES RETIREMENT PLAN

2022: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: ST. ANNE HOME EMPLOYEES RETIREMENT 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	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
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: ST. ANNE HOME EMPLOYEES RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
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: ST. ANNE HOME EMPLOYEES RETIREMENT 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: ST. ANNE HOME EMPLOYEES RETIREMENT 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: ST. ANNE HOME EMPLOYEES RETIREMENT 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: ST. ANNE HOME EMPLOYEES RETIREMENT 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:	ST. ANNE HOME OF THE DIOCESE OF FORT WAYNE-SOUTH BEND, INC.
Employer identification number (EIN):	352024406
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities