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FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 401k Plan overview

Plan NameFOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN
Plan identification number 001

FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN Benefits

401k Plan TypeDefined 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

FOREST MANOR CARE CENTER INC. DBA GLEN COVE CENTER FOR NURSING AND REH has sponsored the creation of one or more 401k plans.

Company Name:FOREST MANOR CARE CENTER INC. DBA GLEN COVE CENTER FOR NURSING AND REH
Employer identification number (EIN):113427389
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012018-01-01
0012017-01-01MELANIE ESTEPA
0012016-01-01MELANIE ESTEPA
0012015-01-01MELANIE ESTEPA
0012014-01-01MELANIE ESTEPA
0012013-01-01MELANIE ESTEPA
0012012-01-01MELANIE ESTEPA
0012011-01-01MELANIE ESTEPA
0012009-01-01MELANIE ESTEPA MELANIE ESTEPA2010-10-13

Plan Statistics for FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN

401k plan membership statisitcs for FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN

Measure Date Value
2022: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01242
Total number of active participants reported on line 7a of the Form 55002022-01-01401
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0127
Total of all active and inactive participants2022-01-01428
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-012
Total participants2022-01-01430
Number of participants with account balances2022-01-01141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01232
Total number of active participants reported on line 7a of the Form 55002021-01-01121
Number of retired or separated participants receiving benefits2021-01-012
Number of other retired or separated participants entitled to future benefits2021-01-01119
Total of all active and inactive participants2021-01-01242
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01242
Number of participants with account balances2021-01-01222
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-019
2020: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01242
Total number of active participants reported on line 7a of the Form 55002020-01-01122
Number of retired or separated participants receiving benefits2020-01-013
Number of other retired or separated participants entitled to future benefits2020-01-0187
Total of all active and inactive participants2020-01-01212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01212
Number of participants with account balances2020-01-01209
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-016
2019: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01243
Total number of active participants reported on line 7a of the Form 55002019-01-01117
Number of retired or separated participants receiving benefits2019-01-015
Number of other retired or separated participants entitled to future benefits2019-01-0182
Total of all active and inactive participants2019-01-01204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01204
Number of participants with account balances2019-01-01187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-013
2018: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01204
Total number of active participants reported on line 7a of the Form 55002018-01-01105
Number of retired or separated participants receiving benefits2018-01-013
Number of other retired or separated participants entitled to future benefits2018-01-01109
Total of all active and inactive participants2018-01-01217
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01217
Number of participants with account balances2018-01-01202
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-017
2017: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01221
Total number of active participants reported on line 7a of the Form 55002017-01-01104
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0183
Total of all active and inactive participants2017-01-01187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01187
Number of participants with account balances2017-01-01169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0115
2016: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01183
Total number of active participants reported on line 7a of the Form 55002016-01-01114
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-01100
Total of all active and inactive participants2016-01-01214
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01214
Number of participants with account balances2016-01-01198
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-015
2015: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01191
Total number of active participants reported on line 7a of the Form 55002015-01-01104
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0172
Total of all active and inactive participants2015-01-01176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01176
Number of participants with account balances2015-01-01163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0119
2014: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01168
Total number of active participants reported on line 7a of the Form 55002014-01-01123
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0160
Total of all active and inactive participants2014-01-01183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01183
Number of participants with account balances2014-01-01174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0122
2013: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01253
Total number of active participants reported on line 7a of the Form 55002013-01-01148
Number of retired or separated participants receiving benefits2013-01-0110
Number of other retired or separated participants entitled to future benefits2013-01-0195
Total of all active and inactive participants2013-01-01253
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01253
Number of participants with account balances2013-01-01229
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0113
2012: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01249
Total number of active participants reported on line 7a of the Form 55002012-01-01151
Number of retired or separated participants receiving benefits2012-01-018
Number of other retired or separated participants entitled to future benefits2012-01-01101
Total of all active and inactive participants2012-01-01260
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01260
Number of participants with account balances2012-01-01220
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0118
2011: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01187
Total number of active participants reported on line 7a of the Form 55002011-01-01124
Number of retired or separated participants receiving benefits2011-01-015
Number of other retired or separated participants entitled to future benefits2011-01-01108
Total of all active and inactive participants2011-01-01237
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01237
Number of participants with account balances2011-01-01209
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0116
2009: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01183
Total number of active participants reported on line 7a of the Form 55002009-01-0180
Number of retired or separated participants receiving benefits2009-01-015
Number of other retired or separated participants entitled to future benefits2009-01-0196
Total of all active and inactive participants2009-01-01181
Total participants2009-01-01181
Number of participants with account balances2009-01-01181
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0115

Financial Data on FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN

Measure Date Value
2022 : FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets2022-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$0
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total transfer of assets to this plan2022-12-31$0
Total transfer of assets from this plan2022-12-31$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$18,175
Expenses. Interest paid2022-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022022-12-31$0
Total income from all sources (including contributions)2022-12-31$-1,560,634
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$1,901,373
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,883,177
Expenses. Certain deemed distributions of participant loans2022-12-31$0
Value of total corrective distributions2022-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$637,632
Value of total assets at end of year2022-12-31$10,386,432
Value of total assets at beginning of year2022-12-31$13,866,614
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$18,196
Total income from rents2022-12-31$0
Total interest from all sources2022-12-31$5,210
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$335,287
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$335,287
Assets. Real estate other than employer real property at end of year2022-12-31$0
Assets. Real estate other than employer real property at beginning of year2022-12-31$0
Administrative expenses professional fees incurred2022-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2022-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2022-12-31$0
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$423,952
Participant contributions at end of year2022-12-31$46,957
Participant contributions at beginning of year2022-12-31$29,481
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$5,894
Assets. Other investments not covered elsewhere at end of year2022-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$47,902
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$69
Assets. Loans (other than to participants) at end of year2022-12-31$0
Assets. Loans (other than to participants) at beginning of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$18,175
Other income not declared elsewhere2022-12-31$0
Administrative expenses (other) incurred2022-12-31$18,196
Liabilities. Value of operating payables at end of year2022-12-31$0
Liabilities. Value of operating payables at beginning of year2022-12-31$0
Total non interest bearing cash at end of year2022-12-31$0
Total non interest bearing cash at beginning of year2022-12-31$133,666
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Income. Non cash contributions2022-12-31$0
Value of net income/loss2022-12-31$-3,462,007
Value of net assets at end of year (total assets less liabilities)2022-12-31$10,386,432
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$13,848,439
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Assets. partnership/joint venture interests at end of year2022-12-31$0
Assets. partnership/joint venture interests at beginning of year2022-12-31$0
Investment advisory and management fees2022-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$9,729,831
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$12,993,215
Value of interest in pooled separate accounts at end of year2022-12-31$0
Value of interest in pooled separate accounts at beginning of year2022-12-31$0
Interest on participant loans2022-12-31$1,820
Income. Interest from loans (other than to participants)2022-12-31$0
Interest earned on other investments2022-12-31$0
Income. Interest from US Government securities2022-12-31$0
Income. Interest from corporate debt instruments2022-12-31$0
Value of interest in master investment trust accounts at end of year2022-12-31$0
Value of interest in master investment trust accounts at beginning of year2022-12-31$0
Value of interest in common/collective trusts at end of year2022-12-31$606,257
Value of interest in common/collective trusts at beginning of year2022-12-31$402,817
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$3,387
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$3,390
Assets. Value of investments in 103.12 investment entities at end of year2022-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$0
Asset value of US Government securities at end of year2022-12-31$0
Asset value of US Government securities at beginning of year2022-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,649,914
Net investment gain/loss from pooled separate accounts2022-12-31$0
Net investment gain or loss from common/collective trusts2022-12-31$111,151
Net gain/loss from 103.12 investment entities2022-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Assets. Invements in employer securities at end of year2022-12-31$0
Assets. Invements in employer securities at beginning of year2022-12-31$0
Assets. Value of employer real property at end of year2022-12-31$0
Assets. Value of employer real property at beginning of year2022-12-31$0
Contributions received in cash from employer2022-12-31$165,778
Employer contributions (assets) at end of year2022-12-31$0
Employer contributions (assets) at beginning of year2022-12-31$301,472
Income. Dividends from preferred stock2022-12-31$0
Income. Dividends from common stock2022-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,883,177
Asset. Corporate debt instrument preferred debt at end of year2022-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2022-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$0
Contract administrator fees2022-12-31$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31Yes
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$0
Liabilities. Value of benefit claims payable at end of year2022-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$0
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$0
Aggregate carrying amount (costs) on sale of assets2022-12-31$0
Liabilities. Value of acquisition indebtedness at end of year2022-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2022-12-31$0
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31WIPFLI LLP
Accountancy firm EIN2022-12-31390758449
2021 : FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$18,175
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$5,384
Total income from all sources (including contributions)2021-12-31$3,137,294
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,199,966
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,161,175
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$784,587
Value of total assets at end of year2021-12-31$13,866,614
Value of total assets at beginning of year2021-12-31$11,916,495
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$38,791
Total interest from all sources2021-12-31$1,697
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$877,600
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$877,600
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$428,923
Participant contributions at end of year2021-12-31$29,481
Participant contributions at beginning of year2021-12-31$42,676
Participant contributions at end of year2021-12-31$5,894
Participant contributions at beginning of year2021-12-31$5,020
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$57,075
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$69
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$20
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$18,175
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$5,384
Total non interest bearing cash at end of year2021-12-31$133,666
Total non interest bearing cash at beginning of year2021-12-31$95,968
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,937,328
Value of net assets at end of year (total assets less liabilities)2021-12-31$13,848,439
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$11,911,111
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$11,667
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$12,993,215
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$10,983,398
Interest on participant loans2021-12-31$1,697
Value of interest in common/collective trusts at end of year2021-12-31$402,817
Value of interest in common/collective trusts at beginning of year2021-12-31$481,966
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,467,098
Net investment gain or loss from common/collective trusts2021-12-31$6,312
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$298,589
Employer contributions (assets) at end of year2021-12-31$301,472
Employer contributions (assets) at beginning of year2021-12-31$307,447
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,161,175
Contract administrator fees2021-12-31$27,124
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31Yes
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31WIPFLI LLP
Accountancy firm EIN2021-12-31390758449
2020 : FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$5,384
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$18,399
Total income from all sources (including contributions)2020-12-31$2,654,461
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$363,997
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$333,923
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$644,368
Value of total assets at end of year2020-12-31$11,916,495
Value of total assets at beginning of year2020-12-31$9,639,046
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$30,074
Total interest from all sources2020-12-31$4,661
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$547,923
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$547,923
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$339,804
Participant contributions at end of year2020-12-31$42,676
Participant contributions at beginning of year2020-12-31$63,544
Participant contributions at end of year2020-12-31$5,020
Participant contributions at beginning of year2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$20
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$170
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$5,384
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$18,399
Total non interest bearing cash at end of year2020-12-31$95,968
Total non interest bearing cash at beginning of year2020-12-31$109,089
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$2,290,464
Value of net assets at end of year (total assets less liabilities)2020-12-31$11,911,111
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$9,620,647
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$5,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$10,983,398
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$8,725,361
Interest on participant loans2020-12-31$4,661
Value of interest in common/collective trusts at end of year2020-12-31$481,966
Value of interest in common/collective trusts at beginning of year2020-12-31$464,663
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,448,499
Net investment gain or loss from common/collective trusts2020-12-31$9,010
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$304,564
Employer contributions (assets) at end of year2020-12-31$307,447
Employer contributions (assets) at beginning of year2020-12-31$276,219
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$333,923
Contract administrator fees2020-12-31$25,074
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31WIPFLI LLP
Accountancy firm EIN2020-12-31390758449
2019 : FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$18,399
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$10,701
Total income from all sources (including contributions)2019-12-31$2,499,378
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$460,191
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$435,482
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$581,509
Value of total assets at end of year2019-12-31$9,639,046
Value of total assets at beginning of year2019-12-31$7,592,161
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$24,709
Total interest from all sources2019-12-31$4,277
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$383,974
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$383,974
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$307,897
Participant contributions at end of year2019-12-31$63,544
Participant contributions at beginning of year2019-12-31$75,301
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$276
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$170
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$15,479
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$18,399
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$10,701
Total non interest bearing cash at end of year2019-12-31$109,089
Total non interest bearing cash at beginning of year2019-12-31$103,437
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$2,039,187
Value of net assets at end of year (total assets less liabilities)2019-12-31$9,620,647
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$7,581,460
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$7,790
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$8,725,361
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$6,707,301
Interest on participant loans2019-12-31$4,277
Value of interest in common/collective trusts at end of year2019-12-31$464,663
Value of interest in common/collective trusts at beginning of year2019-12-31$456,068
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,519,548
Net investment gain or loss from common/collective trusts2019-12-31$10,070
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$273,336
Employer contributions (assets) at end of year2019-12-31$276,219
Employer contributions (assets) at beginning of year2019-12-31$234,575
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$435,482
Contract administrator fees2019-12-31$16,919
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31ELKO AND ASSOCIATES LTD.
Accountancy firm EIN2019-12-31233063393
2018 : FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$10,701
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$71,438
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$359,986
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$329,946
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$475,042
Value of total assets at end of year2018-12-31$7,592,161
Value of total assets at beginning of year2018-12-31$7,870,008
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$30,040
Total interest from all sources2018-12-31$3,472
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$507,728
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$507,728
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$241,287
Participant contributions at end of year2018-12-31$75,301
Participant contributions at beginning of year2018-12-31$101,187
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$4,232
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$2,063
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$15,479
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$10,701
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$0
Total non interest bearing cash at end of year2018-12-31$103,437
Total non interest bearing cash at beginning of year2018-12-31$64,432
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-288,548
Value of net assets at end of year (total assets less liabilities)2018-12-31$7,581,460
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$7,870,008
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$10,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$6,707,301
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$7,008,855
Interest on participant loans2018-12-31$3,472
Value of interest in common/collective trusts at end of year2018-12-31$456,068
Value of interest in common/collective trusts at beginning of year2018-12-31$470,417
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-923,733
Net investment gain or loss from common/collective trusts2018-12-31$8,929
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$231,692
Employer contributions (assets) at end of year2018-12-31$234,575
Employer contributions (assets) at beginning of year2018-12-31$220,885
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$329,946
Contract administrator fees2018-12-31$20,040
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31ELKO AND ASSOCIATES LTD.
Accountancy firm EIN2018-12-31233063393
2017 : FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$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$1,750,560
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$421,613
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$393,159
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$506,121
Value of total assets at end of year2017-12-31$7,870,008
Value of total assets at beginning of year2017-12-31$6,541,061
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$28,454
Total interest from all sources2017-12-31$3,100
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$342,153
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$342,153
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$285,236
Participant contributions at end of year2017-12-31$101,187
Participant contributions at beginning of year2017-12-31$68,800
Participant contributions at end of year2017-12-31$4,232
Participant contributions at beginning of year2017-12-31$5,406
Total non interest bearing cash at end of year2017-12-31$64,432
Total non interest bearing cash at beginning of year2017-12-31$33,188
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,328,947
Value of net assets at end of year (total assets less liabilities)2017-12-31$7,870,008
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$6,541,061
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$10,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$7,008,855
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$5,718,316
Interest on participant loans2017-12-31$3,100
Value of interest in common/collective trusts at end of year2017-12-31$470,417
Value of interest in common/collective trusts at beginning of year2017-12-31$458,192
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$891,799
Net investment gain or loss from common/collective trusts2017-12-31$7,387
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$220,885
Employer contributions (assets) at end of year2017-12-31$220,885
Employer contributions (assets) at beginning of year2017-12-31$257,159
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$393,159
Contract administrator fees2017-12-31$18,454
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31ELKO AND ASSOCIATES LTD.
Accountancy firm EIN2017-12-31233063393
2016 : FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$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$919,801
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$578,867
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$549,962
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$542,829
Value of total assets at end of year2016-12-31$6,541,061
Value of total assets at beginning of year2016-12-31$6,200,127
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$28,905
Total interest from all sources2016-12-31$2,240
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$194,483
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$194,483
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$285,670
Participant contributions at end of year2016-12-31$68,800
Participant contributions at beginning of year2016-12-31$61,792
Participant contributions at end of year2016-12-31$5,406
Participant contributions at beginning of year2016-12-31$4,559
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$0
Total non interest bearing cash at end of year2016-12-31$33,188
Total non interest bearing cash at beginning of year2016-12-31$21,289
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$340,934
Value of net assets at end of year (total assets less liabilities)2016-12-31$6,541,061
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$6,200,127
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$24,896
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$5,718,316
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$5,248,461
Value of interest in pooled separate accounts at end of year2016-12-31$0
Value of interest in pooled separate accounts at beginning of year2016-12-31$0
Interest on participant loans2016-12-31$2,240
Value of interest in common/collective trusts at end of year2016-12-31$458,192
Value of interest in common/collective trusts at beginning of year2016-12-31$647,676
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$174,322
Net investment gain or loss from common/collective trusts2016-12-31$5,927
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$257,159
Employer contributions (assets) at end of year2016-12-31$257,159
Employer contributions (assets) at beginning of year2016-12-31$216,350
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$549,962
Contract administrator fees2016-12-31$4,009
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31ELKO AND ASSOCIATES LTD.
Accountancy firm EIN2016-12-31233063393
2015 : FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$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$576,058
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$185,107
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$159,654
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$484,538
Value of total assets at end of year2015-12-31$6,200,127
Value of total assets at beginning of year2015-12-31$5,809,176
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$25,453
Total interest from all sources2015-12-31$3,263
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$289,113
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$289,113
Administrative expenses professional fees incurred2015-12-31$0
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$268,188
Participant contributions at end of year2015-12-31$61,792
Participant contributions at beginning of year2015-12-31$71,407
Participant contributions at end of year2015-12-31$4,559
Participant contributions at beginning of year2015-12-31$5,811
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$0
Total non interest bearing cash at end of year2015-12-31$21,289
Total non interest bearing cash at beginning of year2015-12-31$44
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$390,951
Value of net assets at end of year (total assets less liabilities)2015-12-31$6,200,127
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$5,809,176
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$8,679
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$5,248,461
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$4,833,066
Value of interest in pooled separate accounts at end of year2015-12-31$0
Value of interest in pooled separate accounts at beginning of year2015-12-31$0
Interest on participant loans2015-12-31$3,263
Value of interest in common/collective trusts at end of year2015-12-31$647,676
Value of interest in common/collective trusts at beginning of year2015-12-31$626,498
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-206,121
Net investment gain or loss from common/collective trusts2015-12-31$5,265
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$216,350
Employer contributions (assets) at end of year2015-12-31$216,350
Employer contributions (assets) at beginning of year2015-12-31$272,350
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$159,654
Contract administrator fees2015-12-31$16,774
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31ELKO AND ASSOCIATES LTD.
Accountancy firm EIN2015-12-31233063393
2014 : FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$926,800
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$628,174
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$585,590
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$591,415
Value of total assets at end of year2014-12-31$5,809,176
Value of total assets at beginning of year2014-12-31$5,510,550
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$42,584
Total interest from all sources2014-12-31$3,129
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$239,024
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$239,024
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$347,895
Participant contributions at end of year2014-12-31$71,407
Participant contributions at beginning of year2014-12-31$99,445
Participant contributions at end of year2014-12-31$5,811
Participant contributions at beginning of year2014-12-31$12,716
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$3,265
Administrative expenses (other) incurred2014-12-31$15,498
Total non interest bearing cash at end of year2014-12-31$44
Total non interest bearing cash at beginning of year2014-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$298,626
Value of net assets at end of year (total assets less liabilities)2014-12-31$5,809,176
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$5,510,550
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$8,472
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$4,833,066
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$0
Value of interest in pooled separate accounts at end of year2014-12-31$0
Value of interest in pooled separate accounts at beginning of year2014-12-31$4,430,060
Interest on participant loans2014-12-31$3,129
Value of interest in common/collective trusts at end of year2014-12-31$626,498
Value of interest in common/collective trusts at beginning of year2014-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$685,291
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$91,480
Net investment gain or loss from common/collective trusts2014-12-31$1,752
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$243,520
Employer contributions (assets) at end of year2014-12-31$272,350
Employer contributions (assets) at beginning of year2014-12-31$279,773
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$585,590
Contract administrator fees2014-12-31$18,614
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31ELKO AND ASSOCIATES LTD.
Accountancy firm EIN2014-12-31233063393
2013 : FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$1,508,580
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$430,502
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$351,231
Expenses. Certain deemed distributions of participant loans2013-12-31$28,381
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$594,037
Value of total assets at end of year2013-12-31$5,510,550
Value of total assets at beginning of year2013-12-31$4,432,472
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$50,890
Total interest from all sources2013-12-31$4,265
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$312,963
Participant contributions at end of year2013-12-31$99,445
Participant contributions at beginning of year2013-12-31$82,277
Participant contributions at end of year2013-12-31$12,716
Participant contributions at beginning of year2013-12-31$14,874
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$1,301
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$3,265
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$1,995
Other income not declared elsewhere2013-12-31$289
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$1,078,078
Value of net assets at end of year (total assets less liabilities)2013-12-31$5,510,550
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,432,472
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$50,890
Value of interest in pooled separate accounts at end of year2013-12-31$4,430,060
Value of interest in pooled separate accounts at beginning of year2013-12-31$3,442,792
Interest on participant loans2013-12-31$4,265
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$685,291
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$625,253
Net investment gain/loss from pooled separate accounts2013-12-31$909,989
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$279,773
Employer contributions (assets) at end of year2013-12-31$279,773
Employer contributions (assets) at beginning of year2013-12-31$265,281
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$351,231
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31ELKO AND ASSOCIATES LTD.
Accountancy firm EIN2013-12-31233063393
2012 : FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$1,036,333
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$376,571
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$302,563
Expenses. Certain deemed distributions of participant loans2012-12-31$31,285
Value of total corrective distributions2012-12-31$42
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$611,591
Value of total assets at end of year2012-12-31$4,432,472
Value of total assets at beginning of year2012-12-31$3,772,710
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$42,681
Total interest from all sources2012-12-31$3,304
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$308,211
Participant contributions at end of year2012-12-31$82,277
Participant contributions at beginning of year2012-12-31$87,163
Participant contributions at end of year2012-12-31$14,874
Participant contributions at beginning of year2012-12-31$10,283
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$38,099
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$1,995
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$2,733
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$659,762
Value of net assets at end of year (total assets less liabilities)2012-12-31$4,432,472
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,772,710
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$42,681
Value of interest in pooled separate accounts at end of year2012-12-31$3,442,792
Value of interest in pooled separate accounts at beginning of year2012-12-31$2,785,289
Interest on participant loans2012-12-31$3,304
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$625,253
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$614,883
Net investment gain/loss from pooled separate accounts2012-12-31$421,438
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$265,281
Employer contributions (assets) at end of year2012-12-31$265,281
Employer contributions (assets) at beginning of year2012-12-31$272,359
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$302,563
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31ELKO AND ASSOCIATES LTD.
Accountancy firm EIN2012-12-31233063393
2011 : FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$532,251
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$375,163
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$279,109
Expenses. Certain deemed distributions of participant loans2011-12-31$55,876
Value of total corrective distributions2011-12-31$3,860
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$567,172
Value of total assets at end of year2011-12-31$3,772,710
Value of total assets at beginning of year2011-12-31$3,615,622
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$36,318
Total interest from all sources2011-12-31$5,225
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$300,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$294,813
Participant contributions at end of year2011-12-31$87,163
Participant contributions at beginning of year2011-12-31$141,300
Participant contributions at end of year2011-12-31$10,283
Participant contributions at beginning of year2011-12-31$17,789
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$2,733
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$3,481
Other income not declared elsewhere2011-12-31$773
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$157,088
Value of net assets at end of year (total assets less liabilities)2011-12-31$3,772,710
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$3,615,622
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$36,318
Value of interest in pooled separate accounts at end of year2011-12-31$2,785,289
Value of interest in pooled separate accounts at beginning of year2011-12-31$2,674,218
Interest on participant loans2011-12-31$5,225
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$614,883
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$579,008
Net investment gain/loss from pooled separate accounts2011-12-31$-40,919
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$272,359
Employer contributions (assets) at end of year2011-12-31$272,359
Employer contributions (assets) at beginning of year2011-12-31$199,826
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$279,109
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31CHODOR CPA, P.C.
Accountancy firm EIN2011-12-31270312364
2010 : FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$886,863
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$307,457
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$274,576
Value of total corrective distributions2010-12-31$35
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$539,023
Value of total assets at end of year2010-12-31$3,615,622
Value of total assets at beginning of year2010-12-31$3,036,216
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$32,846
Total interest from all sources2010-12-31$6,175
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$300,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$328,328
Participant contributions at end of year2010-12-31$141,300
Participant contributions at beginning of year2010-12-31$98,621
Participant contributions at end of year2010-12-31$17,789
Participant contributions at beginning of year2010-12-31$23,115
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$10,869
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$3,481
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$2,242
Other income not declared elsewhere2010-12-31$1,961
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$579,406
Value of net assets at end of year (total assets less liabilities)2010-12-31$3,615,622
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,036,216
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$32,846
Value of interest in pooled separate accounts at end of year2010-12-31$2,674,218
Value of interest in pooled separate accounts at beginning of year2010-12-31$2,245,496
Interest on participant loans2010-12-31$6,175
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$579,008
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$438,636
Net investment gain/loss from pooled separate accounts2010-12-31$339,704
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$199,826
Employer contributions (assets) at end of year2010-12-31$199,826
Employer contributions (assets) at beginning of year2010-12-31$228,106
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$274,576
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31CHODOR CPA, P.C.
Accountancy firm EIN2010-12-31270312364

Form 5500 Responses for FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN

2022: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: FOREST MANOR/MONTCLAIR CARE CENTERS 401(K) EMPLOYEE SAVINGS PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP64V004
Policy instance 1
Insurance contract or identification numberGAP64V004
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $6,473
Total amount of fees paid to insurance companyUSD $3,393
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $6,473
Amount paid for insurance broker fees3393
Additional information about fees paid to insurance brokerINVESTMENT ADVISORY SERVICES
Insurance broker organization code?4
Insurance broker nameSAGEPOINT FINANCIAL INC.
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP64V004
Policy instance 1
Insurance contract or identification numberGAP64V004
Number of Individuals Covered229
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $29,401
Total amount of fees paid to insurance companyUSD $16,716
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $29,401
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerINVESTMENT ADVISORY SERVICES
Insurance broker organization code?4
Insurance broker nameSENTINEL BENEFITS GROUP, LLC
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP64V004
Policy instance 1
Insurance contract or identification numberGAP64V004
Number of Individuals Covered220
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $23,865
Total amount of fees paid to insurance companyUSD $13,519
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $23,865
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerINVESTMENT ADVISORY SERVICES
Insurance broker organization code?4
Insurance broker nameSENTINEL BENEFITS GROUP, LLC
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP64V004
Policy instance 1
Insurance contract or identification numberGAP64V004
Number of Individuals Covered179
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $21,773
Total amount of fees paid to insurance companyUSD $12,221
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP64V004
Policy instance 1
Insurance contract or identification numberGAP64V004
Number of Individuals Covered187
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $17,580
Total amount of fees paid to insurance companyUSD $9,849
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $17,580
Additional information about fees paid to insurance brokerINVESTMENT ADVISORY SERVICES
Insurance broker organization code?4
Amount paid for insurance broker fees9849
Insurance broker nameSENTINEL BENEFITS GROUP, LLC

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