401k Plan data: JEROME HOME 401(K) PLAN plan

JEROME HOME 401(K) PLAN 401k Plan overview

Plan Name	JEROME HOME 401(K) PLAN
Plan identification number	004

JEROME HOME 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

JEROME HOME has sponsored the creation of one or more 401k plans.

Company Name: JEROME HOME

Employer identification number (EIN): 060646690

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JEROME HOME 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
004 2022-01-01
004 2021-01-01
004 2020-01-01
004 2019-01-01
004 2018-01-01
004 2017-01-01 LORI TOOMBS
004 2017-01-01
004 2016-01-01 LORI TOOMBS
004 2016-01-01
004 2015-12-21 LORI TOOMBS
004 2015-12-17 LORI TOOMBS

Plan Statistics for JEROME HOME 401(K) PLAN

401k plan membership statisitcs for JEROME HOME 401(K) PLAN

Measure Date Value
2022: JEROME HOME 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 252
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 180
Number of retired or separated participants receiving benefits 2022-01-01 6
Number of other retired or separated participants entitled to future benefits 2022-01-01 66
Total of all active and inactive participants 2022-01-01 252
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 252
Number of participants with account balances 2022-01-01 251
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 10
2021: JEROME HOME 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 251
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 174
Number of retired or separated participants receiving benefits 2021-01-01 8
Number of other retired or separated participants entitled to future benefits 2021-01-01 66
Total of all active and inactive participants 2021-01-01 248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 248
Number of participants with account balances 2021-01-01 246
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 14
2020: JEROME HOME 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 239
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 187
Number of retired or separated participants receiving benefits 2020-01-01 10
Number of other retired or separated participants entitled to future benefits 2020-01-01 57
Total of all active and inactive participants 2020-01-01 254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 254
Number of participants with account balances 2020-01-01 252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 12
2019: JEROME HOME 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 235
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 181
Number of retired or separated participants receiving benefits 2019-01-01 6
Number of other retired or separated participants entitled to future benefits 2019-01-01 48
Total of all active and inactive participants 2019-01-01 235
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 235
Number of participants with account balances 2019-01-01 234
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 16
2018: JEROME HOME 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 229
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 177
Number of retired or separated participants receiving benefits 2018-01-01 5
Number of other retired or separated participants entitled to future benefits 2018-01-01 45
Total of all active and inactive participants 2018-01-01 227
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 227
Number of participants with account balances 2018-01-01 227
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 19
2017: JEROME HOME 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 222
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 186
Number of retired or separated participants receiving benefits 2017-01-01 5
Number of other retired or separated participants entitled to future benefits 2017-01-01 37
Total of all active and inactive participants 2017-01-01 228
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 228
Number of participants with account balances 2017-01-01 227
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 17
2016: JEROME HOME 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 182
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 204
Number of retired or separated participants receiving benefits 2016-01-01 3
Number of other retired or separated participants entitled to future benefits 2016-01-01 9
Total of all active and inactive participants 2016-01-01 216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 216
Number of participants with account balances 2016-01-01 216
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 15
2015: JEROME HOME 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-12-21 153
Total number of active participants reported on line 7a of the Form 5500 2015-12-21 169
Number of retired or separated participants receiving benefits 2015-12-21 0
Number of other retired or separated participants entitled to future benefits 2015-12-21 0
Total of all active and inactive participants 2015-12-21 169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-12-21 0
Total participants 2015-12-21 169
Number of participants with account balances 2015-12-21 168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-12-21 1
Total participants, beginning-of-year 2015-12-17 153
Total number of active participants reported on line 7a of the Form 5500 2015-12-17 169
Number of retired or separated participants receiving benefits 2015-12-17 0
Number of other retired or separated participants entitled to future benefits 2015-12-17 0
Total of all active and inactive participants 2015-12-17 169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-12-17 0
Total participants 2015-12-17 169
Number of participants with account balances 2015-12-17 168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-12-17 1

Measure	Date	Value
2022: JEROME HOME 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	252
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	180
Number of retired or separated participants receiving benefits	2022-01-01	6
Number of other retired or separated participants entitled to future benefits	2022-01-01	66
Total of all active and inactive participants	2022-01-01	252
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	252
Number of participants with account balances	2022-01-01	251
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	10
2021: JEROME HOME 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	251
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	174
Number of retired or separated participants receiving benefits	2021-01-01	8
Number of other retired or separated participants entitled to future benefits	2021-01-01	66
Total of all active and inactive participants	2021-01-01	248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	248
Number of participants with account balances	2021-01-01	246
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	14
2020: JEROME HOME 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	239
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	187
Number of retired or separated participants receiving benefits	2020-01-01	10
Number of other retired or separated participants entitled to future benefits	2020-01-01	57
Total of all active and inactive participants	2020-01-01	254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	254
Number of participants with account balances	2020-01-01	252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	12
2019: JEROME HOME 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	235
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	181
Number of retired or separated participants receiving benefits	2019-01-01	6
Number of other retired or separated participants entitled to future benefits	2019-01-01	48
Total of all active and inactive participants	2019-01-01	235
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	235
Number of participants with account balances	2019-01-01	234
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	16
2018: JEROME HOME 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	229
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	177
Number of retired or separated participants receiving benefits	2018-01-01	5
Number of other retired or separated participants entitled to future benefits	2018-01-01	45
Total of all active and inactive participants	2018-01-01	227
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	227
Number of participants with account balances	2018-01-01	227
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	19
2017: JEROME HOME 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	222
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	186
Number of retired or separated participants receiving benefits	2017-01-01	5
Number of other retired or separated participants entitled to future benefits	2017-01-01	37
Total of all active and inactive participants	2017-01-01	228
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	228
Number of participants with account balances	2017-01-01	227
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	17
2016: JEROME HOME 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	182
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	204
Number of retired or separated participants receiving benefits	2016-01-01	3
Number of other retired or separated participants entitled to future benefits	2016-01-01	9
Total of all active and inactive participants	2016-01-01	216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	216
Number of participants with account balances	2016-01-01	216
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	15
2015: JEROME HOME 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-12-21	153
Total number of active participants reported on line 7a of the Form 5500	2015-12-21	169
Number of retired or separated participants receiving benefits	2015-12-21	0
Number of other retired or separated participants entitled to future benefits	2015-12-21	0
Total of all active and inactive participants	2015-12-21	169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-12-21	0
Total participants	2015-12-21	169
Number of participants with account balances	2015-12-21	168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-12-21	1
Total participants, beginning-of-year	2015-12-17	153
Total number of active participants reported on line 7a of the Form 5500	2015-12-17	169
Number of retired or separated participants receiving benefits	2015-12-17	0
Number of other retired or separated participants entitled to future benefits	2015-12-17	0
Total of all active and inactive participants	2015-12-17	169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-12-17	0
Total participants	2015-12-17	169
Number of participants with account balances	2015-12-17	168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-12-17	1

Financial Data on JEROME HOME 401(K) PLAN

Measure	Date	Value
2022 : JEROME HOME 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-283,361
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$263,974
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$253,249
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$202,874
Value of total assets at end of year	2022-12-31	$3,133,390
Value of total assets at beginning of year	2022-12-31	$3,680,725
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$10,725
Total interest from all sources	2022-12-31	$1,681
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Administrative expenses professional fees incurred	2022-12-31	$10,725
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Participant contributions at end of year	2022-12-31	$35,551
Participant contributions at beginning of year	2022-12-31	$38,834
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-547,335
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$3,133,390
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$3,680,725
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$2,348,258
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$2,961,774
Interest on participant loans	2022-12-31	$1,681
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$746,590
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$679,313
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-487,916
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$202,874
Employer contributions (assets) at end of year	2022-12-31	$2,991
Employer contributions (assets) at beginning of year	2022-12-31	$804
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$253,249
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	CROWE LLP
Accountancy firm EIN	2022-12-31	350921680
2021 : JEROME HOME 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$144
Total income from all sources (including contributions)	2021-12-31	$642,847
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$280,449
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$261,061
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$206,875
Value of total assets at end of year	2021-12-31	$3,680,725
Value of total assets at beginning of year	2021-12-31	$3,318,471
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$19,388
Total interest from all sources	2021-12-31	$2,376
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Administrative expenses professional fees incurred	2021-12-31	$19,388
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Participant contributions at end of year	2021-12-31	$38,834
Participant contributions at beginning of year	2021-12-31	$54,675
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$251
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$144
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$362,398
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$3,680,725
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$3,318,327
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$2,961,774
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$2,589,083
Interest on participant loans	2021-12-31	$2,376
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$679,313
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$673,214
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$433,596
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$206,624
Employer contributions (assets) at end of year	2021-12-31	$804
Employer contributions (assets) at beginning of year	2021-12-31	$1,499
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$261,061
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	CROWE LLP
Accountancy firm EIN	2021-12-31	350921680
2020 : JEROME HOME 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$144
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$561,229
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$207,202
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$187,001
Expenses. Certain deemed distributions of participant loans	2020-12-31	$399
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$195,446
Value of total assets at end of year	2020-12-31	$3,318,471
Value of total assets at beginning of year	2020-12-31	$2,964,300
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$19,802
Total interest from all sources	2020-12-31	$2,502
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Administrative expenses professional fees incurred	2020-12-31	$19,802
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Participant contributions at end of year	2020-12-31	$54,675
Participant contributions at beginning of year	2020-12-31	$43,941
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$153
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$144
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$354,027
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$3,318,327
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$2,964,300
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$2,589,083
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$2,218,770
Interest on participant loans	2020-12-31	$2,502
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$673,214
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$701,164
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$363,281
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$195,293
Employer contributions (assets) at end of year	2020-12-31	$1,499
Employer contributions (assets) at beginning of year	2020-12-31	$425
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$187,001
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	CROWE LLP
Accountancy firm EIN	2020-12-31	350921680
2019 : JEROME HOME 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$626,327
Total income from all sources (including contributions)	2019-12-31	$626,327
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$186,804
Total of all expenses incurred	2019-12-31	$186,804
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$178,415
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$178,415
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$192,079
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$192,079
Value of total assets at end of year	2019-12-31	$2,964,300
Value of total assets at end of year	2019-12-31	$2,964,300
Value of total assets at beginning of year	2019-12-31	$2,524,777
Value of total assets at beginning of year	2019-12-31	$2,524,777
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$8,389
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$8,389
Total interest from all sources	2019-12-31	$2,238
Total interest from all sources	2019-12-31	$2,238
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Administrative expenses professional fees incurred	2019-12-31	$8,389
Administrative expenses professional fees incurred	2019-12-31	$8,389
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Participant contributions at end of year	2019-12-31	$43,941
Participant contributions at end of year	2019-12-31	$43,941
Participant contributions at beginning of year	2019-12-31	$44,124
Participant contributions at beginning of year	2019-12-31	$44,124
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$439,523
Value of net income/loss	2019-12-31	$439,523
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,964,300
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,964,300
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$2,524,777
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$2,524,777
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$2,218,770
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$2,218,770
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,757,868
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,757,868
Interest on participant loans	2019-12-31	$2,238
Interest on participant loans	2019-12-31	$2,238
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$701,164
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$701,164
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$707,696
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$707,696
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$432,010
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$432,010
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$192,079
Contributions received in cash from employer	2019-12-31	$192,079
Employer contributions (assets) at end of year	2019-12-31	$425
Employer contributions (assets) at end of year	2019-12-31	$425
Employer contributions (assets) at beginning of year	2019-12-31	$15,089
Employer contributions (assets) at beginning of year	2019-12-31	$15,089
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$178,415
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$178,415
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	CROWE, LLP
Accountancy firm name	2019-12-31	CROWE, LLP
Accountancy firm EIN	2019-12-31	350921680
Accountancy firm EIN	2019-12-31	350921680
2018 : JEROME HOME 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$70,392
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$118,282
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$93,440
Expenses. Certain deemed distributions of participant loans	2018-12-31	$1,694
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$170,249
Value of total assets at end of year	2018-12-31	$2,524,777
Value of total assets at beginning of year	2018-12-31	$2,572,667
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$23,148
Total interest from all sources	2018-12-31	$2,331
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Administrative expenses professional fees incurred	2018-12-31	$23,148
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Participant contributions at end of year	2018-12-31	$44,124
Participant contributions at beginning of year	2018-12-31	$52,730
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-47,890
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$2,524,777
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$2,572,667
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$1,757,868
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$1,825,156
Interest on participant loans	2018-12-31	$2,331
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$707,696
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$682,111
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-102,188
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$170,249
Employer contributions (assets) at end of year	2018-12-31	$15,089
Employer contributions (assets) at beginning of year	2018-12-31	$12,670
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$93,440
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	CROWE, LLP
Accountancy firm EIN	2018-12-31	350921680
2017 : JEROME HOME 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$471,007
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$277,839
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$249,513
Expenses. Certain deemed distributions of participant loans	2017-12-31	$21,039
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$174,879
Value of total assets at end of year	2017-12-31	$2,572,667
Value of total assets at beginning of year	2017-12-31	$2,379,499
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$7,287
Total interest from all sources	2017-12-31	$2,857
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Administrative expenses professional fees incurred	2017-12-31	$7,287
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Participant contributions at end of year	2017-12-31	$52,730
Participant contributions at beginning of year	2017-12-31	$66,069
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$193,168
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$2,572,667
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$2,379,499
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$1,825,156
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$1,510,806
Interest on participant loans	2017-12-31	$2,857
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$682,111
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$802,624
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$293,271
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$174,879
Employer contributions (assets) at end of year	2017-12-31	$12,670
Employer contributions (assets) at beginning of year	2017-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$249,513
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	CROWE, LLP
Accountancy firm EIN	2017-12-31	350921680
2016 : JEROME HOME 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$289,342
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$161,699
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$157,099
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$166,463
Value of total assets at end of year	2016-12-31	$2,379,499
Value of total assets at beginning of year	2016-12-31	$2,251,856
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$4,600
Total interest from all sources	2016-12-31	$3,938
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$4,600
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$225,186
If this is an individual account plan, was there a blackout period	2016-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Participant contributions at end of year	2016-12-31	$66,069
Participant contributions at beginning of year	2016-12-31	$67,267
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$2,313,430
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$2,167,488
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$127,643
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$2,379,499
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$2,251,856
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$1,510,806
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$1,416,629
Income. Interest from loans (other than to participants)	2016-12-31	$3,938
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$802,624
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$754,654
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$118,941
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$166,463
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$17,101
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$157,099
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	2016-12-31	Yes
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	CROWE HORWARTH LLP
Accountancy firm EIN	2016-12-31	350921680
2015 : JEROME HOME 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total transfer of assets to this plan	2015-12-31	$2,234,755
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	$17,101
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$17,101
Value of total assets at end of year	2015-12-31	$2,251,856
Value of total assets at beginning of year	2015-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$0
Total interest from all sources	2015-12-31	$0
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	No
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Participant contributions at end of year	2015-12-31	$67,267
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$2,167,488
Other income not declared elsewhere	2015-12-31	$3,795
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	$17,101
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$2,251,856
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$0
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	$1,416,629
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$754,654
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	No
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	$17,101
Employer contributions (assets) at end of year	2015-12-31	$17,101
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	Yes
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

Form 5500 Responses for JEROME HOME 401(K) PLAN

2022: JEROME HOME 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: JEROME HOME 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: JEROME HOME 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: JEROME HOME 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: JEROME HOME 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: JEROME HOME 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: JEROME HOME 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
2016-01-01	This submission is the final filing	No
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 – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: JEROME HOME 401(K) PLAN 2015 form 5500 responses
2015-12-21	Type of plan entity	Single employer plan
2015-12-21	First time form 5500 has been submitted	Yes
2015-12-21	Submission has been amended	No
2015-12-21	This submission is the final filing	No
2015-12-21	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-12-21	Plan is a collectively bargained plan	No
2015-12-21	Plan funding arrangement – Insurance	Yes
2015-12-21	Plan funding arrangement – Trust	Yes
2015-12-21	Plan benefit arrangement – Insurance	Yes
2015-12-21	Plan benefit arrangement - Trust	Yes
2015-12-17	Type of plan entity	Single employer plan
2015-12-17	First time form 5500 has been submitted	Yes
2015-12-17	Submission has been amended	Yes
2015-12-17	This submission is the final filing	No
2015-12-17	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-12-17	Plan is a collectively bargained plan	No
2015-12-17	Plan funding arrangement – Insurance	Yes
2015-12-17	Plan funding arrangement – Trust	Yes
2015-12-17	Plan benefit arrangement – Insurance	Yes
2015-12-17	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

374775-01

Policy instance

Insurance contract or identification number	374775-01
Number of Individuals Covered	130
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

374775-01

Policy instance

Insurance contract or identification number	374775-01
Number of Individuals Covered	135
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

374775-01

Policy instance

Insurance contract or identification number	374775-01
Number of Individuals Covered	139
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

374775-01

Policy instance

Insurance contract or identification number	374775-01
Number of Individuals Covered	144
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

374775-01

Policy instance

Insurance contract or identification number	374775-01
Number of Individuals Covered	171
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	JEROME HOME
Employer identification number (EIN):	060646690
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities