401k Plan data: BRETHREN CARE VILLAGE RETIREMENT PLAN plan

BRETHREN CARE VILLAGE RETIREMENT PLAN 401k Plan overview

Plan Name	BRETHREN CARE VILLAGE RETIREMENT PLAN
Plan identification number	001

BRETHREN CARE VILLAGE RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

BRETHREN CARE VILLAGE, LLC. has sponsored the creation of one or more 401k plans.

Company Name: BRETHREN CARE VILLAGE, LLC.

Employer identification number (EIN): 474768346

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BRETHREN CARE VILLAGE RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01 TROY SNYDER 2020-10-14
001 2018-01-01 TROY SNYDER 2019-10-15
001 2017-01-01 ANNA SMITH
001 2016-01-01 ANNA SMITH
001 2015-01-01 ANNA SMITH

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2019-01-01	TROY SNYDER	2020-10-14
001	2018-01-01	TROY SNYDER	2019-10-15
001	2017-01-01	ANNA SMITH
001	2016-01-01	ANNA SMITH
001	2015-01-01	ANNA SMITH

Plan Statistics for BRETHREN CARE VILLAGE RETIREMENT PLAN

401k plan membership statisitcs for BRETHREN CARE VILLAGE RETIREMENT PLAN

Measure Date Value
2019: BRETHREN CARE VILLAGE RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 233
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 250
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 20
Total of all active and inactive participants 2019-01-01 270
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 270
Number of participants with account balances 2019-01-01 190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 22
2018: BRETHREN CARE VILLAGE RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 257
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 214
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 19
Total of all active and inactive participants 2018-01-01 233
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 233
Number of participants with account balances 2018-01-01 172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 24
2017: BRETHREN CARE VILLAGE RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 244
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 212
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 45
Total of all active and inactive participants 2017-01-01 257
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 257
Number of participants with account balances 2017-01-01 198
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 39
2016: BRETHREN CARE VILLAGE RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 245
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 208
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 36
Total of all active and inactive participants 2016-01-01 244
Total participants 2016-01-01 244
Number of participants with account balances 2016-01-01 199
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 32
2015: BRETHREN CARE VILLAGE RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 227
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 214
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 31
Total of all active and inactive participants 2015-01-01 245
Total participants 2015-01-01 245
Number of participants with account balances 2015-01-01 201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 32

Measure	Date	Value
2019: BRETHREN CARE VILLAGE RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	233
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	250
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	20
Total of all active and inactive participants	2019-01-01	270
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	270
Number of participants with account balances	2019-01-01	190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	22
2018: BRETHREN CARE VILLAGE RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	257
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	214
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	19
Total of all active and inactive participants	2018-01-01	233
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	233
Number of participants with account balances	2018-01-01	172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	24
2017: BRETHREN CARE VILLAGE RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	244
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	212
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	45
Total of all active and inactive participants	2017-01-01	257
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	257
Number of participants with account balances	2017-01-01	198
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	39
2016: BRETHREN CARE VILLAGE RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	245
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	208
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	36
Total of all active and inactive participants	2016-01-01	244
Total participants	2016-01-01	244
Number of participants with account balances	2016-01-01	199
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	32
2015: BRETHREN CARE VILLAGE RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	227
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	214
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	31
Total of all active and inactive participants	2015-01-01	245
Total participants	2015-01-01	245
Number of participants with account balances	2015-01-01	201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	32

Financial Data on BRETHREN CARE VILLAGE RETIREMENT PLAN

Measure	Date	Value
2019 : BRETHREN CARE VILLAGE RETIREMENT PLAN 2019 401k financial data
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	$633,406
Total of all expenses incurred	2019-12-31	$255,443
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$234,064
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$340,999
Value of total assets at end of year	2019-12-31	$1,850,350
Value of total assets at beginning of year	2019-12-31	$1,472,387
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$21,379
Total interest from all sources	2019-12-31	$2,728
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$81,350
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$81,350
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
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
Contributions received from participants	2019-12-31	$225,665
Participant contributions at end of year	2019-12-31	$31,633
Participant contributions at beginning of year	2019-12-31	$38,049
Participant contributions at end of year	2019-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$58,913
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
Value of net income/loss	2019-12-31	$377,963
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$1,850,350
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,472,387
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 leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$10,808
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,815,478
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,426,912
Interest on participant loans	2019-12-31	$1,743
Interest earned on other investments	2019-12-31	$896
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$3,239
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$7,410
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$7,410
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$89
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$208,329
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
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	$56,421
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$16
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$234,064
Contract administrator fees	2019-12-31	$10,571
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
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
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	HW & CO
Accountancy firm EIN	2019-12-31	341663157
2018 : BRETHREN CARE VILLAGE RETIREMENT PLAN 2018 401k financial data
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	$1,185
Total income from all sources (including contributions)	2018-12-31	$88,427
Total of all expenses incurred	2018-12-31	$258,525
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$239,154
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$239,234
Value of total assets at end of year	2018-12-31	$1,472,387
Value of total assets at beginning of year	2018-12-31	$1,643,670
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$19,371
Total interest from all sources	2018-12-31	$4,207
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$86,553
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$86,553
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$190,170
Participant contributions at end of year	2018-12-31	$38,049
Participant contributions at beginning of year	2018-12-31	$30,847
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$1,496
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$1,185
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	$-170,098
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,472,387
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,642,485
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	$10,343
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$1,426,912
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$1,606,233
Interest on participant loans	2018-12-31	$1,457
Interest earned on other investments	2018-12-31	$2,682
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$7,410
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$6,590
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$6,590
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$68
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-241,567
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	$47,568
Employer contributions (assets) at end of year	2018-12-31	$16
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$239,154
Contract administrator fees	2018-12-31	$9,028
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	HW & CO.
Accountancy firm EIN	2018-12-31	341663157
2017 : BRETHREN CARE VILLAGE RETIREMENT PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$1,185
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$423,046
Total of all expenses incurred	2017-12-31	$220,418
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$204,422
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$230,743
Value of total assets at end of year	2017-12-31	$1,643,670
Value of total assets at beginning of year	2017-12-31	$1,439,857
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$15,996
Total interest from all sources	2017-12-31	$1,451
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$59,536
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$59,536
Administrative expenses professional fees incurred	2017-12-31	$0
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$1,500,000
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	$185,496
Participant contributions at end of year	2017-12-31	$30,847
Participant contributions at beginning of year	2017-12-31	$34,764
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$1,185
Liabilities. Value of operating payables at beginning of year	2017-12-31	$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	2017-12-31	No
Value of net income/loss	2017-12-31	$202,628
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,642,485
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,439,857
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	$10,007
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$1,606,233
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$1,358,115
Interest on participant loans	2017-12-31	$1,443
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$6,590
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$46,978
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$46,978
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$8
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$131,316
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	No
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	$45,247
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$204,422
Contract administrator fees	2017-12-31	$5,989
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	HW & CO
Accountancy firm EIN	2017-12-31	341663157
2016 : BRETHREN CARE VILLAGE RETIREMENT PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
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	$343,494
Total of all expenses incurred	2016-12-31	$164,509
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$149,833
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$222,309
Value of total assets at end of year	2016-12-31	$1,439,857
Value of total assets at beginning of year	2016-12-31	$1,260,872
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$14,676
Total interest from all sources	2016-12-31	$924
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$39,002
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$39,002
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$1,500,000
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	$177,843
Participant contributions at end of year	2016-12-31	$34,764
Participant contributions at beginning of year	2016-12-31	$18,978
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$0
Liabilities. Value of operating payables at end of year	2016-12-31	$0
Liabilities. Value of operating payables at beginning of year	2016-12-31	$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	2016-12-31	No
Income. Non cash contributions	2016-12-31	$0
Value of net income/loss	2016-12-31	$178,985
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,439,857
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,260,872
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	$9,240
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$1,358,115
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$1,205,317
Interest on participant loans	2016-12-31	$865
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$46,978
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$36,577
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$36,577
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$59
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$81,259
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	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$44,466
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$149,833
Contract administrator fees	2016-12-31	$5,436
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	HW & CO.
Accountancy firm EIN	2016-12-31	341663157
2015 : BRETHREN CARE VILLAGE RETIREMENT PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$167,974
Total of all expenses incurred	2015-12-31	$145,030
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$131,519
Value of total corrective distributions	2015-12-31	$380
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$206,540
Value of total assets at end of year	2015-12-31	$1,260,872
Value of total assets at beginning of year	2015-12-31	$1,237,928
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$13,131
Total interest from all sources	2015-12-31	$382
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$40,949
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$40,949
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$300,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$165,191
Participant contributions at end of year	2015-12-31	$18,978
Participant contributions at beginning of year	2015-12-31	$0
Liabilities. Value of operating payables at end of year	2015-12-31	$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	2015-12-31	No
Value of net income/loss	2015-12-31	$22,944
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,260,872
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$1,237,928
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	$9,217
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$1,205,317
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$1,200,432
Interest on participant loans	2015-12-31	$378
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$36,577
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$37,496
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$37,496
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$4
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-79,897
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	$41,349
Employer contributions (assets) at beginning of year	2015-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$131,519
Contract administrator fees	2015-12-31	$3,914
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	HW & CO.
Accountancy firm EIN	2015-12-31	341663157

Form 5500 Responses for BRETHREN CARE VILLAGE RETIREMENT PLAN

2019: BRETHREN CARE VILLAGE RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: BRETHREN CARE VILLAGE RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: BRETHREN CARE VILLAGE RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: BRETHREN CARE VILLAGE RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: BRETHREN CARE VILLAGE RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	BRETHREN CARE VILLAGE, LLC.
Employer identification number (EIN):	474768346
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities