401k Plan data: SUNSHINE HAVEN, INC. 401(K) PLAN plan

SUNSHINE HAVEN, INC. 401(K) PLAN 401k Plan overview

Plan Name	SUNSHINE HAVEN, INC. 401(K) PLAN
Plan identification number	002

SUNSHINE HAVEN, INC. 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

SUNSHINE HAVEN, INC. has sponsored the creation of one or more 401k plans.

Company Name: SUNSHINE HAVEN, INC.

Employer identification number (EIN): 043235372

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SUNSHINE HAVEN, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2021-01-01 TRUDY BARNATT 2022-07-28 TRUDY BARNATT 2022-07-28
002 2020-01-01 TRUDY BARNATT 2021-03-24 TRUDY BARNATT 2021-03-24
002 2019-01-01 TRUDY BARNATT 2020-07-15 TRUDY BARNATT 2020-07-15
002 2018-01-01 TRUDY BARNATT 2019-03-13 TRUDY BARNATT 2019-03-13
002 2017-01-01 TRUDY BARNATT 2018-04-10 TRUDY BARNATT 2018-04-10
002 2016-01-01 TRUDY BARNATT 2017-04-12 TRUDY BARNATT 2017-04-12
002 2015-01-01 TRUDY BARNATT 2016-06-07 TRUDY BARNATT 2016-06-07
002 2014-01-01 TRUDY BARNATT 2015-09-24 TRUDY BARNATT 2015-09-24
002 2013-01-01 TRUDY BARNATT 2014-09-29 TRUDY BARNATT 2014-09-29
002 2012-01-01 TRUDY BARNATT 2013-07-18 TRUDY BARNATT 2013-07-18
002 2011-01-01 TRUDY BARNATT 2012-06-18 TRUDY BARNATT 2012-06-18
002 2009-01-01 TRUDY BARNATT TRUDY BARNATT 2010-10-13
002 2009-01-01 TRUDY BARNATT TRUDY BARNATT 2010-10-14
002 2009-01-01 TRUDY BARNATT TRUDY BARNATT 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2021-01-01	TRUDY BARNATT	2022-07-28	TRUDY BARNATT	2022-07-28
002	2020-01-01	TRUDY BARNATT	2021-03-24	TRUDY BARNATT	2021-03-24
002	2019-01-01	TRUDY BARNATT	2020-07-15	TRUDY BARNATT	2020-07-15
002	2018-01-01	TRUDY BARNATT	2019-03-13	TRUDY BARNATT	2019-03-13
002	2017-01-01	TRUDY BARNATT	2018-04-10	TRUDY BARNATT	2018-04-10
002	2016-01-01	TRUDY BARNATT	2017-04-12	TRUDY BARNATT	2017-04-12
002	2015-01-01	TRUDY BARNATT	2016-06-07	TRUDY BARNATT	2016-06-07
002	2014-01-01	TRUDY BARNATT	2015-09-24	TRUDY BARNATT	2015-09-24
002	2013-01-01	TRUDY BARNATT	2014-09-29	TRUDY BARNATT	2014-09-29
002	2012-01-01	TRUDY BARNATT	2013-07-18	TRUDY BARNATT	2013-07-18
002	2011-01-01	TRUDY BARNATT	2012-06-18	TRUDY BARNATT	2012-06-18
002	2009-01-01	TRUDY BARNATT		TRUDY BARNATT	2010-10-13
002	2009-01-01	TRUDY BARNATT		TRUDY BARNATT	2010-10-14
002	2009-01-01	TRUDY BARNATT		TRUDY BARNATT	2010-10-14

Plan Statistics for SUNSHINE HAVEN, INC. 401(K) PLAN

401k plan membership statisitcs for SUNSHINE HAVEN, INC. 401(K) PLAN

Measure Date Value
2022: SUNSHINE HAVEN, INC. 401(K) PLAN 2022 401k membership
Total number of particpants at beginning of year 2022-07-28 3
Total number of particpants at end of year 2022-07-28 0
Number of Participants With Account Balances 2022-07-28 0
2009: SUNSHINE HAVEN, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 23
Total of all active and inactive participants 2009-01-01 0
Total participants 2009-01-01 0

Measure	Date	Value
2022: SUNSHINE HAVEN, INC. 401(K) PLAN 2022 401k membership
Total number of particpants at beginning of year	2022-07-28	3
Total number of particpants at end of year	2022-07-28	0
Number of Participants With Account Balances	2022-07-28	0
2009: SUNSHINE HAVEN, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	23
Total of all active and inactive participants	2009-01-01	0
Total participants	2009-01-01	0

Financial Data on SUNSHINE HAVEN, INC. 401(K) PLAN

Measure	Date	Value
2022 : SUNSHINE HAVEN, INC. 401(K) PLAN 2022 401k financial data
Total transfers to/from plan in this plan year	2022-07-28	0
Total liabilities as of the end of the plan year	2022-07-28	0
Total liabilities as of the beginning of the plan year	2022-07-28	0
Total expenses incurred by plan in this plan year	2022-07-28	3804
Net assets as of the end of the plan year	2022-07-28	0
Total assets as of the beginning of the plan year	2022-07-28	3804
Value of plan covered by a fidelity bond	2022-07-28	25000
Participant contributions to plan in this plan year	2022-07-28	0
Other expenses paid from plan in this plan year	2022-07-28	0
Other contributions to plan in this plan year	2022-07-28	0
Other income to plan in this plan year	2022-07-28	0
Plan net income in this plan year	2022-07-28	-3804
Net assets as of the end of the plan year	2022-07-28	0
Net assets as of the beginning of the plan year	2022-07-28	3804
Employer contributions to plan in this plan year	2022-07-28	0
Expensese paid to adminstrative service provicers from plan in this plan year	2022-07-28	0
2010 : SUNSHINE HAVEN, INC. 401(K) PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$58,320
Expenses. Total of all expenses incurred	2010-12-31	$245,900
Benefits paid (including direct rollovers)	2010-12-31	$245,900
Total plan assets at end of year	2010-12-31	$234,219
Total plan assets at beginning of year	2010-12-31	$421,799
Value of fidelity bond covering the plan	2010-12-31	$25,000
Total contributions received or receivable from participants	2010-12-31	$17,709
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$21,609
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$-187,580
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$234,219
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$421,799
Assets. Value of participant loans	2010-12-31	$4,785
Total contributions received or receivable from employer(s)	2010-12-31	$19,002
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0

Form 5500 Responses for SUNSHINE HAVEN, INC. 401(K) PLAN

2009: SUNSHINE HAVEN, INC. 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number	935288
Policy instance	1
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number	935290
Policy instance	2

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Company Name:	SUNSHINE HAVEN, INC.
Employer identification number (EIN):	043235372
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities