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| Plan Name | GROUP LIFE PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | COMMONWEALTH CARE OF ROANOKE, INC. |
| Employer identification number (EIN): | 753020239 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
Additional information about COMMONWEALTH CARE OF ROANOKE, INC.
| Jurisdiction of Incorporation: | Virginia Secretary of State |
| Incorporation Date: | 2002-03-01 |
| Company Identification Number: | 0573049 |
| Legal Registered Office Address: |
5372 FALLOWATER LANE SUITE 200 ROANOKE United States of America (USA) 24018-0909 |
More information about COMMONWEALTH CARE OF ROANOKE, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2009-02-01 | ELIZABETH FARISS | ELIZABETH FARISS | 2010-08-27 |
| Measure | Date | Value |
|---|---|---|
| 2009: GROUP LIFE PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-02-01 | 565 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-02-01 | 505 |
| Total of all active and inactive participants | 2009-02-01 | 505 |
| 2009: GROUP LIFE PLAN 2009 form 5500 responses | ||
|---|---|---|
| 2009-02-01 | Type of plan entity | Single employer plan |
| 2009-02-01 | This submission is the final filing | Yes |
| 2009-02-01 | Plan funding arrangement – Insurance | Yes |
| 2009-02-01 | Plan benefit arrangement – Insurance | Yes |
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