| Plan Name | MY FUTURE 401(K) PLAN |
| Plan identification number | 337 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | WEATHERLY INN AT TACOMA LP |
| Employer identification number (EIN): | 911425600 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
Additional information about WEATHERLY INN AT TACOMA LP
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 2003-04-04 |
| Company Identification Number: | 602285142 |
| Legal Registered Office Address: |
606 COLUMBIA ST NW STE 101 OLYMPIA United States of America (USA) 985011093 |
More information about WEATHERLY INN AT TACOMA LP
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 337 | 2016-01-01 | ALEX BUNN | |||
| 337 | 2015-01-01 | LYNNE MCAULEY |
| Measure | Date | Value |
|---|---|---|
| 2016 : MY FUTURE 401(K) PLAN 2016 401k financial data | ||
| Total income from all sources | 2016-12-31 | $-58,617 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $1,534,761 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $1,528,232 |
| Total plan assets at end of year | 2016-12-31 | $0 |
| Total plan assets at beginning of year | 2016-12-31 | $1,593,378 |
| Value of fidelity bond covering the plan | 2016-12-31 | $160,000 |
| Other income received | 2016-12-31 | $-58,617 |
| Net income (gross income less expenses) | 2016-12-31 | $-1,593,378 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $1,593,378 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-12-31 | $6,529 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2016-12-31 | $0 |
| 2015 : MY FUTURE 401(K) PLAN 2015 401k financial data | ||
| Total unrealized appreciation/depreciation of assets | 2015-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $0 |
| Total liabilities at beginning 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 | $113,906 |
| Total loss/gain on sale of assets | 2015-12-31 | $0 |
| Total of all expenses incurred | 2015-12-31 | $76,438 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $49,897 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $123,272 |
| Value of total assets at end of year | 2015-12-31 | $1,593,379 |
| Value of total assets at beginning of year | 2015-12-31 | $1,555,911 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $26,541 |
| Total interest from all sources | 2015-12-31 | $2,227 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-12-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
| Was this plan covered by a fidelity bond | 2015-12-31 | Yes |
| Value of fidelity bond cover | 2015-12-31 | $160,000 |
| If this is an individual account plan, was there a blackout period | 2015-12-31 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2015-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
| Contributions received from participants | 2015-12-31 | $91,845 |
| Participant contributions at end of year | 2015-12-31 | $35,750 |
| Participant contributions at beginning of year | 2015-12-31 | $60,201 |
| Participant contributions at end of year | 2015-12-31 | $4,012 |
| Participant contributions at beginning of year | 2015-12-31 | $3,694 |
| 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 | $37,468 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $1,593,379 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $1,555,911 |
| 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 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-12-31 | $1,522,190 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-12-31 | $1,477,006 |
| Interest on participant loans | 2015-12-31 | $2,227 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2015-12-31 | $-11,593 |
| 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 | Yes |
| 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 | $31,427 |
| Employer contributions (assets) at end of year | 2015-12-31 | $31,427 |
| Employer contributions (assets) at beginning of year | 2015-12-31 | $15,010 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-12-31 | $49,897 |
| Contract administrator fees | 2015-12-31 | $26,541 |
| 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 | 2015-12-31 | No |
| 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 | JASON UNDERWOOD CPA, PLLC |
| Accountancy firm EIN | 2015-12-31 | 453976013 |
| 2016: MY FUTURE 401(K) PLAN 2016 form 5500 responses | ||
|---|---|---|
| 2016-01-01 | Type of plan entity | Mulitple employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | Yes |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – Trust | Yes |
| 2016-01-01 | Plan benefit arrangement - Trust | Yes |
| 2015: MY FUTURE 401(K) PLAN 2015 form 5500 responses | ||
| 2015-01-01 | Type of plan entity | Mulitple employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan benefit arrangement - Trust | Yes |