401k Plan data: MEDILODGE OF ROYAL OAK COLLECTIVELY BARGAINED 401(K) PLAN & TRUST plan

MEDILODGE OF ROYAL OAK COLLECTIVELY BARGAINED 401(K) PLAN & TRUST 401k Plan overview

Plan Name	MEDILODGE OF ROYAL OAK COLLECTIVELY BARGAINED 401(K) PLAN & TRUST
Plan identification number	002

MEDILODGE OF ROYAL OAK COLLECTIVELY BARGAINED 401(K) PLAN & TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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

MEDILODGE OF ROYAL OAK has sponsored the creation of one or more 401k plans.

Company Name: MEDILODGE OF ROYAL OAK

Employer identification number (EIN): 382958499

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDILODGE OF ROYAL OAK COLLECTIVELY BARGAINED 401(K) PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2008-01-01 FRANK WRONSKI
002 2007-01-01 FRANK WRONSKI

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2008-01-01	FRANK WRONSKI
002	2007-01-01	FRANK WRONSKI

Plan Statistics for MEDILODGE OF ROYAL OAK COLLECTIVELY BARGAINED 401(K) PLAN & TRUST

401k plan membership statisitcs for MEDILODGE OF ROYAL OAK COLLECTIVELY BARGAINED 401(K) PLAN & TRUST

Measure Date Value
2008: MEDILODGE OF ROYAL OAK COLLECTIVELY BARGAINED 401(K) PLAN & TRUST 2008 401k membership
Total participants, beginning-of-year 2008-01-01 72
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 0
Number of retired or separated participants receiving benefits 2008-01-01 0
Number of other retired or separated participants entitled to future benefits 2008-01-01 0
Total of all active and inactive participants 2008-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2008-01-01 0
Total participants 2008-01-01 0
Number of participants with account balances 2008-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-01-01 0
2007: MEDILODGE OF ROYAL OAK COLLECTIVELY BARGAINED 401(K) PLAN & TRUST 2007 401k membership
Total participants, beginning-of-year 2007-01-01 112
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 0
Number of retired or separated participants receiving benefits 2007-01-01 0
Number of other retired or separated participants entitled to future benefits 2007-01-01 72
Total of all active and inactive participants 2007-01-01 72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2007-01-01 0
Total participants 2007-01-01 72
Number of participants with account balances 2007-01-01 72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2007-01-01 0

Measure	Date	Value
2008: MEDILODGE OF ROYAL OAK COLLECTIVELY BARGAINED 401(K) PLAN & TRUST 2008 401k membership
Total participants, beginning-of-year	2008-01-01	72
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	0
Number of retired or separated participants receiving benefits	2008-01-01	0
Number of other retired or separated participants entitled to future benefits	2008-01-01	0
Total of all active and inactive participants	2008-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-01-01	0
Total participants	2008-01-01	0
Number of participants with account balances	2008-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-01-01	0
2007: MEDILODGE OF ROYAL OAK COLLECTIVELY BARGAINED 401(K) PLAN & TRUST 2007 401k membership
Total participants, beginning-of-year	2007-01-01	112
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	0
Number of retired or separated participants receiving benefits	2007-01-01	0
Number of other retired or separated participants entitled to future benefits	2007-01-01	72
Total of all active and inactive participants	2007-01-01	72
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2007-01-01	0
Total participants	2007-01-01	72
Number of participants with account balances	2007-01-01	72
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2007-01-01	0

Financial Data on MEDILODGE OF ROYAL OAK COLLECTIVELY BARGAINED 401(K) PLAN & TRUST

Measure	Date	Value
2008 : MEDILODGE OF ROYAL OAK COLLECTIVELY BARGAINED 401(K) PLAN & TRUST 2008 401k financial data
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers	2008-09-14	0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2008-09-14	$0
2007 : MEDILODGE OF ROYAL OAK COLLECTIVELY BARGAINED 401(K) PLAN & TRUST 2007 401k financial data
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers	2007-12-31	0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2007-12-31	$0

Form 5500 Responses for MEDILODGE OF ROYAL OAK COLLECTIVELY BARGAINED 401(K) PLAN & TRUST

2008: MEDILODGE OF ROYAL OAK COLLECTIVELY BARGAINED 401(K) PLAN & TRUST 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	Yes
2008-01-01	This submission is the final filing	Yes
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	Yes
2008-01-01	Plan funding arrangement – Trust	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement - Trust	Yes
2007: MEDILODGE OF ROYAL OAK COLLECTIVELY BARGAINED 401(K) PLAN & TRUST 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Submission has been amended	Yes
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	Yes
2007-01-01	Plan funding arrangement – Trust	Yes
2007-01-01	Plan benefit arrangement – Insurance	Yes
2007-01-01	Plan benefit arrangement - Trust	Yes

Potentially related plans

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Company Name:	MEDILODGE OF ROYAL OAK
Employer identification number (EIN):	382958499
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities