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| Plan Name | THE VICTORIAN AT RIVERSIDE CBS BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | COVINGTON LADIES HOME INC |
| Employer identification number (EIN): | 610461759 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2022-06-01 | SHAWNA BURTON | 2023-12-27 | ||
| 501 | 2022-01-01 | SHAWNA BURTON | 2022-12-29 |
| Measure | Date | Value |
|---|---|---|
| 2022 : THE VICTORIAN AT RIVERSIDE CBS BENEFIT PLAN 2022 401k financial data | ||
| Total liabilities as of the end of the plan year | 2022-12-29 | 708 |
| Total liabilities as of the beginning of the plan year | 2022-12-29 | 0 |
| Total expenses incurred by plan in this plan year | 2022-12-29 | 26215 |
| Net assets as of the end of the plan year | 2022-12-29 | 897 |
| Total assets as of the beginning of the plan year | 2022-12-29 | 0 |
| Value of plan covered by a fidelity bond | 2022-12-29 | 1000000 |
| Participant contributions to plan in this plan year | 2022-12-29 | 0 |
| Other expenses paid from plan in this plan year | 2022-12-29 | 0 |
| Other contributions to plan in this plan year | 2022-12-29 | 0 |
| Other income to plan in this plan year | 2022-12-29 | 30 |
| Plan net income in this plan year | 2022-12-29 | 189 |
| Net assets as of the end of the plan year | 2022-12-29 | 189 |
| Net assets as of the beginning of the plan year | 2022-12-29 | 0 |
| Employer contributions to plan in this plan year | 2022-12-29 | 26374 |
| Expensese paid to adminstrative service provicers from plan in this plan year | 2022-12-29 | 2081 |
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