401k Plan data: PLEASANT VIEW INC. 403(B) PLAN plan

PLEASANT VIEW INC. 403(B) PLAN 401k Plan overview

Plan Name	PLEASANT VIEW INC. 403(B) PLAN
Plan identification number	001

PLEASANT VIEW INC. 403(B) 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.
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

PLEASANT VIEW, INC. has sponsored the creation of one or more 401k plans.

Company Name: PLEASANT VIEW, INC.

Employer identification number (EIN): 540887738

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

Additional information about PLEASANT VIEW, INC.

Jurisdiction of Incorporation: Virginia Secretary of State

Incorporation Date: 1971-02-08

Company Identification Number: 0130327

Legal Registered Office Address: PO BOX 426
P O BOX 20028
BROADWAY
United States of America (USA)
22815

More information about PLEASANT VIEW, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PLEASANT VIEW INC. 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-07-01 JOHN S GARBER
001 2011-07-01 JOHN SCOTT GARBER
001 2010-07-01 JOHN S. GARBER
001 2009-07-01 JOHN GARBER JOHN GARBER 2011-01-28

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2012-07-01	JOHN S GARBER
001	2011-07-01	JOHN SCOTT GARBER
001	2010-07-01	JOHN S. GARBER
001	2009-07-01	JOHN GARBER	JOHN GARBER	2011-01-28

Plan Statistics for PLEASANT VIEW INC. 403(B) PLAN

401k plan membership statisitcs for PLEASANT VIEW INC. 403(B) PLAN

Measure Date Value
2012: PLEASANT VIEW INC. 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 220
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 0
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 0
Total of all active and inactive participants 2012-07-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 0
Number of participants with account balances 2012-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 0
2011: PLEASANT VIEW INC. 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 188
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 183
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 37
Total of all active and inactive participants 2011-07-01 220
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 220
Number of participants with account balances 2011-07-01 98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0
2010: PLEASANT VIEW INC. 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 186
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 182
Number of retired or separated participants receiving benefits 2010-07-01 0
Number of other retired or separated participants entitled to future benefits 2010-07-01 6
Total of all active and inactive participants 2010-07-01 188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-07-01 0
Total participants 2010-07-01 188
Number of participants with account balances 2010-07-01 99
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-07-01 0
2009: PLEASANT VIEW INC. 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 178
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 180
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 6
Total of all active and inactive participants 2009-07-01 186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 186
Number of participants with account balances 2009-07-01 92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 2

Measure	Date	Value
2012: PLEASANT VIEW INC. 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	220
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	0
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	0
Total of all active and inactive participants	2012-07-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	0
Number of participants with account balances	2012-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0
2011: PLEASANT VIEW INC. 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	188
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	183
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	37
Total of all active and inactive participants	2011-07-01	220
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	220
Number of participants with account balances	2011-07-01	98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
2010: PLEASANT VIEW INC. 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	186
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	182
Number of retired or separated participants receiving benefits	2010-07-01	0
Number of other retired or separated participants entitled to future benefits	2010-07-01	6
Total of all active and inactive participants	2010-07-01	188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-07-01	0
Total participants	2010-07-01	188
Number of participants with account balances	2010-07-01	99
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-07-01	0
2009: PLEASANT VIEW INC. 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	178
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	180
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	6
Total of all active and inactive participants	2009-07-01	186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	186
Number of participants with account balances	2009-07-01	92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	2

Financial Data on PLEASANT VIEW INC. 403(B) PLAN

Measure	Date	Value
2013 : PLEASANT VIEW INC. 403(B) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-06-30	$0
Total income from all sources (including contributions)	2013-06-30	$324,390
Total loss/gain on sale of assets	2013-06-30	$0
Total of all expenses incurred	2013-06-30	$1,779,390
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$1,779,317
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$136,522
Value of total assets at end of year	2013-06-30	$0
Value of total assets at beginning of year	2013-06-30	$1,455,000
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$73
Total interest from all sources	2013-06-30	$17,037
Total dividends received (eg from common stock, registered investment company shares)	2013-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-06-30	No
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2013-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Contributions received from participants	2013-06-30	$99,310
Participant contributions at end of year	2013-06-30	$0
Participant contributions at beginning of year	2013-06-30	$28,248
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Value of net income/loss	2013-06-30	$-1,455,000
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$1,455,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-06-30	No
Were any leases to which the plan was party in default or uncollectible	2013-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-06-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-06-30	$935,763
Interest earned on other investments	2013-06-30	$17,037
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-06-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-06-30	$490,989
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-06-30	$170,831
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-06-30	No
Was there a failure to transmit to the plan any participant contributions	2013-06-30	No
Has the plan failed to provide any benefit when due under the plan	2013-06-30	No
Contributions received in cash from employer	2013-06-30	$37,212
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$1,779,317
Contract administrator fees	2013-06-30	$73
Did the plan have assets held for investment	2013-06-30	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	2013-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-06-30	Yes
2012 : PLEASANT VIEW INC. 403(B) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-30	$0
Total income from all sources (including contributions)	2012-06-30	$133,518
Total loss/gain on sale of assets	2012-06-30	$0
Total of all expenses incurred	2012-06-30	$56,880
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$56,831
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$134,477
Value of total assets at end of year	2012-06-30	$1,455,000
Value of total assets at beginning of year	2012-06-30	$1,378,362
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-30	$49
Total interest from all sources	2012-06-30	$16,473
Total dividends received (eg from common stock, registered investment company shares)	2012-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-06-30	No
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2012-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Contributions received from participants	2012-06-30	$98,560
Participant contributions at end of year	2012-06-30	$28,248
Participant contributions at beginning of year	2012-06-30	$35,715
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Value of net income/loss	2012-06-30	$76,638
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$1,455,000
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$1,378,362
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-06-30	$935,763
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-06-30	$876,340
Interest earned on other investments	2012-06-30	$16,473
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-06-30	$490,989
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-30	$466,307
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-06-30	$-17,432
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-30	No
Was there a failure to transmit to the plan any participant contributions	2012-06-30	No
Has the plan failed to provide any benefit when due under the plan	2012-06-30	No
Contributions received in cash from employer	2012-06-30	$35,917
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$56,831
Contract administrator fees	2012-06-30	$49
Did the plan have assets held for investment	2012-06-30	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	2012-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-06-30	Disclaimer
Accountancy firm name	2012-06-30	MARTIN, BEACHY & AREHART, PLLC
Accountancy firm EIN	2012-06-30	541326200
2011 : PLEASANT VIEW INC. 403(B) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-06-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-06-30	$0
Total income from all sources (including contributions)	2011-06-30	$348,561
Total loss/gain on sale of assets	2011-06-30	$0
Total of all expenses incurred	2011-06-30	$19,164
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$19,164
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$136,719
Value of total assets at end of year	2011-06-30	$1,378,362
Value of total assets at beginning of year	2011-06-30	$1,048,965
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-06-30	$0
Total interest from all sources	2011-06-30	$16,703
Total dividends received (eg from common stock, registered investment company shares)	2011-06-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-06-30	No
Was this plan covered by a fidelity bond	2011-06-30	Yes
Value of fidelity bond cover	2011-06-30	$2,000,000
If this is an individual account plan, was there a blackout period	2011-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Contributions received from participants	2011-06-30	$100,197
Participant contributions at end of year	2011-06-30	$35,715
Participant contributions at beginning of year	2011-06-30	$35,716
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Value of net income/loss	2011-06-30	$329,397
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$1,378,362
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$1,048,965
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-06-30	No
Were any leases to which the plan was party in default or uncollectible	2011-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-06-30	$876,340
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-06-30	$622,252
Interest earned on other investments	2011-06-30	$16,703
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-06-30	$466,307
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-06-30	$390,997
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-06-30	$195,139
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2011-06-30	No
Has the plan failed to provide any benefit when due under the plan	2011-06-30	No
Contributions received in cash from employer	2011-06-30	$36,522
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$19,164
Did the plan have assets held for investment	2011-06-30	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	2011-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-06-30	Disclaimer
Accountancy firm name	2011-06-30	MARTIN, BEACHY & AREHART, PLLC
Accountancy firm EIN	2011-06-30	541326200
2010 : PLEASANT VIEW INC. 403(B) PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-06-30	$0

Form 5500 Responses for PLEASANT VIEW INC. 403(B) PLAN

2012: PLEASANT VIEW INC. 403(B) PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	Yes
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: PLEASANT VIEW INC. 403(B) PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	Yes
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2010: PLEASANT VIEW INC. 403(B) PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan funding arrangement – Trust	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement - Trust	Yes
2009: PLEASANT VIEW INC. 403(B) PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR32559

Policy instance

Insurance contract or identification number	CR32559
Number of Individuals Covered	98
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $7,782
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR32559

Policy instance

Insurance contract or identification number	CR32559
Number of Individuals Covered	98
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $6,485
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR32559

Policy instance

Insurance contract or identification number	CR32559
Number of Individuals Covered	98
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $5,499
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	PLEASANT VIEW, INC.
Employer identification number (EIN):	540887738
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	Virginia Secretary of State
Incorporation Date:	1971-02-08
Company Identification Number:	0130327
Legal Registered Office Address:	PO BOX 426 P O BOX 20028 BROADWAY United States of America (USA) 22815