401k Plan data: THE GILBERT RESIDENCE, INC. TAX DEFERRED ANNUITY PLAN plan

THE GILBERT RESIDENCE, INC. TAX DEFERRED ANNUITY PLAN 401k Plan overview

Plan Name	THE GILBERT RESIDENCE, INC. TAX DEFERRED ANNUITY PLAN
Plan identification number	001

THE GILBERT RESIDENCE, INC. TAX DEFERRED ANNUITY PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

THE GILBERT RESIDENCE, INC. has sponsored the creation of one or more 401k plans.

Company Name: THE GILBERT RESIDENCE, INC.

Employer identification number (EIN): 381615660

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE GILBERT RESIDENCE, INC. TAX DEFERRED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 DAWN BATES 2023-07-28 DAWN BATES 2023-07-28
001 2021-01-01 DAWN BATES 2022-07-19 DAWN BATES 2022-07-19
001 2020-01-01 DAWN BATES 2021-07-29 DAWN BATES 2021-07-29
001 2019-01-01 DAWN BATES 2020-07-29 DAWN BATES 2020-07-29
001 2018-01-01 DAWN BATES 2019-07-26 DAWN BATES 2019-07-26
001 2017-01-01 DAWN BATES 2018-07-30 DAWN BATES 2018-07-30
001 2016-01-01 DAWN BATES 2017-07-28 DAWN BATES 2017-07-28
001 2015-01-01 DAWN BATES 2016-07-22 DAWN BATES 2016-07-22
001 2014-01-01 DAWN BATES 2015-07-28 DAWN BATES 2015-07-28
001 2013-01-01 DAWN BATES 2014-07-30 DAWN BATES 2014-07-30
001 2012-01-01 DAWN BATES 2013-07-23 DAWN BATES 2013-07-23
001 2011-01-01 DAWN BATES 2012-07-30 DAWN BATES 2012-07-30
001 2010-01-01 BOB MOORE 2011-06-06 BOB MOORE 2011-06-06
001 2008-01-01 BOB MOORE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	DAWN BATES	2023-07-28	DAWN BATES	2023-07-28
001	2021-01-01	DAWN BATES	2022-07-19	DAWN BATES	2022-07-19
001	2020-01-01	DAWN BATES	2021-07-29	DAWN BATES	2021-07-29
001	2019-01-01	DAWN BATES	2020-07-29	DAWN BATES	2020-07-29
001	2018-01-01	DAWN BATES	2019-07-26	DAWN BATES	2019-07-26
001	2017-01-01	DAWN BATES	2018-07-30	DAWN BATES	2018-07-30
001	2016-01-01	DAWN BATES	2017-07-28	DAWN BATES	2017-07-28
001	2015-01-01	DAWN BATES	2016-07-22	DAWN BATES	2016-07-22
001	2014-01-01	DAWN BATES	2015-07-28	DAWN BATES	2015-07-28
001	2013-01-01	DAWN BATES	2014-07-30	DAWN BATES	2014-07-30
001	2012-01-01	DAWN BATES	2013-07-23	DAWN BATES	2013-07-23
001	2011-01-01	DAWN BATES	2012-07-30	DAWN BATES	2012-07-30
001	2010-01-01	BOB MOORE	2011-06-06	BOB MOORE	2011-06-06
001	2008-01-01	BOB MOORE

Plan Statistics for THE GILBERT RESIDENCE, INC. TAX DEFERRED ANNUITY PLAN

401k plan membership statisitcs for THE GILBERT RESIDENCE, INC. TAX DEFERRED ANNUITY PLAN

Measure Date Value
2008: THE GILBERT RESIDENCE, INC. TAX DEFERRED ANNUITY PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 0
Total of all active and inactive participants 2008-01-01 0
Total participants 2008-01-01 0

Measure	Date	Value
2008: THE GILBERT RESIDENCE, INC. TAX DEFERRED ANNUITY PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	0
Total of all active and inactive participants	2008-01-01	0
Total participants	2008-01-01	0

Form 5500 Responses for THE GILBERT RESIDENCE, INC. TAX DEFERRED ANNUITY PLAN

2008: THE GILBERT RESIDENCE, INC. TAX DEFERRED ANNUITY PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No

Potentially related plans

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Company Name:	THE GILBERT RESIDENCE, INC.
Employer identification number (EIN):	381615660
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities