401k Plan data: THE GROVE PARK RETIREMENT PLAN plan

THE GROVE PARK RETIREMENT PLAN 401k Plan overview

Plan Name	THE GROVE PARK RETIREMENT PLAN
Plan identification number	001

THE GROVE PARK RETIREMENT PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing

401k Sponsoring company profile

GROVE PARK INN RESORT, INC has sponsored the creation of one or more 401k plans.

Company Name: GROVE PARK INN RESORT, INC

Employer identification number (EIN): 591275568

NAIC Classification: 721110
NAIC Description: Hotels (except Casino Hotels) and Motels

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE GROVE PARK RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 CHERYL GOSCH CHERYL GOSCH 2014-06-11
001 2012-01-01 CHERYL GOSCH CHERYL GOSCH 2013-10-10
001 2011-01-01 CHERYL GOSCH
001 2010-01-01 AUDREY BALLENGER
001 2009-01-01 CHERYL GOSCH
001 2009-01-01 CHERYL GOSCH 2010-09-02

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2013-01-01	CHERYL GOSCH	CHERYL GOSCH	2014-06-11
001	2012-01-01	CHERYL GOSCH	CHERYL GOSCH	2013-10-10
001	2011-01-01	CHERYL GOSCH
001	2010-01-01	AUDREY BALLENGER
001	2009-01-01	CHERYL GOSCH
001	2009-01-01		CHERYL GOSCH	2010-09-02

Plan Statistics for THE GROVE PARK RETIREMENT PLAN

401k plan membership statisitcs for THE GROVE PARK RETIREMENT PLAN

Measure Date Value
2013: THE GROVE PARK RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Total participants 2013-01-01 0
2012: THE GROVE PARK RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 604
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Total of all active and inactive participants 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
2011: THE GROVE PARK RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 682
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 680
Number of retired or separated participants receiving benefits 2011-01-01 57
Total of all active and inactive participants 2011-01-01 737
Total participants 2011-01-01 737
2010: THE GROVE PARK RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 899
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 673
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 51
Total of all active and inactive participants 2010-01-01 724
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 1
Total participants 2010-01-01 725
Number of participants with account balances 2010-01-01 593
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: THE GROVE PARK RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 961
Total of all active and inactive participants 2009-01-01 961
Total participants 2009-01-01 961
Number of participants with account balances 2009-01-01 42

Measure	Date	Value
2013: THE GROVE PARK RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Total participants	2013-01-01	0
2012: THE GROVE PARK RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	604
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Total of all active and inactive participants	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
2011: THE GROVE PARK RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	682
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	680
Number of retired or separated participants receiving benefits	2011-01-01	57
Total of all active and inactive participants	2011-01-01	737
Total participants	2011-01-01	737
2010: THE GROVE PARK RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	899
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	673
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	51
Total of all active and inactive participants	2010-01-01	724
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	1
Total participants	2010-01-01	725
Number of participants with account balances	2010-01-01	593
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: THE GROVE PARK RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	961
Total of all active and inactive participants	2009-01-01	961
Total participants	2009-01-01	961
Number of participants with account balances	2009-01-01	42

Financial Data on THE GROVE PARK RETIREMENT PLAN

Measure	Date	Value
2013 : THE GROVE PARK RETIREMENT PLAN 2013 401k financial data
Transfers to/from the plan	2013-11-19	$0
Total plan liabilities at end of year	2013-11-19	$0
Total plan liabilities at beginning of year	2013-11-19	$0
Total income from all sources	2013-11-19	$0
Expenses. Total of all expenses incurred	2013-11-19	$9,157
Total plan assets at end of year	2013-11-19	$0
Total plan assets at beginning of year	2013-11-19	$9,157
Value of fidelity bond covering the plan	2013-11-19	$10,000,000
Net income (gross income less expenses)	2013-11-19	$-9,157
Net plan assets at end of year (total assets less liabilities)	2013-11-19	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-11-19	$9,157
Expenses. Administrative service providers (salaries,fees and commissions)	2013-11-19	$9,157
2012 : THE GROVE PARK RETIREMENT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$-99,812
Total unrealized appreciation/depreciation of assets	2012-12-31	$-99,812
Total income from all sources (including contributions)	2012-12-31	$93,714
Total loss/gain on sale of assets	2012-12-31	$193,524
Total of all expenses incurred	2012-12-31	$1,615,597
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,600,994
Value of total assets at end of year	2012-12-31	$9,157
Value of total assets at beginning of year	2012-12-31	$1,531,040
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$14,603
Total interest from all sources	2012-12-31	$2
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	Yes
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Total non interest bearing cash at end of year	2012-12-31	$0
Total non interest bearing cash at beginning of year	2012-12-31	$947
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	$-1,521,883
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$9,157
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,531,040
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 bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$9,157
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$1,180,093
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$1,180,093
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$2
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
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
Employer contributions (assets) at end of year	2012-12-31	$0
Employer contributions (assets) at beginning of year	2012-12-31	$350,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,600,994
Contract administrator fees	2012-12-31	$14,603
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	2012-12-31	No
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
Aggregate proceeds on sale of assets	2012-12-31	$1,653,346
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$1,459,822
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	WEAVER
Accountancy firm EIN	2012-12-31	750786316
2011 : THE GROVE PARK RETIREMENT PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$-23,064
Total unrealized appreciation/depreciation of assets	2011-12-31	$-23,064
Total income from all sources (including contributions)	2011-12-31	$349,017
Total loss/gain on sale of assets	2011-12-31	$22,081
Total of all expenses incurred	2011-12-31	$163,371
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$145,097
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$350,000
Value of total assets at end of year	2011-12-31	$1,531,040
Value of total assets at beginning of year	2011-12-31	$1,345,394
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$18,274
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	$10,000,000
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	$145,097
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Total non interest bearing cash at end of year	2011-12-31	$947
Total non interest bearing cash at beginning of year	2011-12-31	$29,211
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	$185,646
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,531,040
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,345,394
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 bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$1,180,093
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$976,183
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$976,183
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
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	$350,000
Employer contributions (assets) at end of year	2011-12-31	$350,000
Employer contributions (assets) at beginning of year	2011-12-31	$340,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$145,097
Contract administrator fees	2011-12-31	$18,274
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	2011-12-31	No
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
Aggregate proceeds on sale of assets	2011-12-31	$162,401
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$140,320
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	WEAVER
Accountancy firm EIN	2011-12-31	750786316
2010 : THE GROVE PARK 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	$29,211
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	$447,551
Total loss/gain on sale of assets	2010-12-31	$2,273
Total of all expenses incurred	2010-12-31	$101,653
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$69,481
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$340,695
Value of total assets at end of year	2010-12-31	$1,345,394
Value of total assets at beginning of year	2010-12-31	$970,285
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$32,172
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
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
Administrative expenses (other) incurred	2010-12-31	$29,211
Liabilities. Value of operating payables at end of year	2010-12-31	$29,211
Total non interest bearing cash at end of year	2010-12-31	$29,211
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	$345,898
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,316,183
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$970,285
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
Investment advisory and management fees	2010-12-31	$2,961
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$976,183
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$327,637
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$104,583
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
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	$340,695
Employer contributions (assets) at end of year	2010-12-31	$340,000
Employer contributions (assets) at beginning of year	2010-12-31	$642,648
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$69,481
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
Aggregate proceeds on sale of assets	2010-12-31	$744,300
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$742,027
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	WEAVER
Accountancy firm EIN	2010-12-31	750786316

Form 5500 Responses for THE GROVE PARK RETIREMENT PLAN

2013: THE GROVE PARK 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	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: THE GROVE PARK 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: THE GROVE PARK 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
2010: THE GROVE PARK RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: THE GROVE PARK RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	First time form 5500 has been submitted	Yes
2009-01-01	Submission has been amended	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	GROVE PARK INN RESORT, INC
Employer identification number (EIN):	591275568
NAIC Classification:	721110
NAIC Description:	Hotels (except Casino Hotels) and Motels