401k Plan data: DAYBREAK GROUP 401(K) PLAN plan

DAYBREAK GROUP 401(K) PLAN 401k Plan overview

Plan Name	DAYBREAK GROUP 401(K) PLAN
Plan identification number	001

DAYBREAK GROUP 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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

DAYBREAK GROUP LTD CO has sponsored the creation of one or more 401k plans.

Company Name: DAYBREAK GROUP LTD CO

Employer identification number (EIN): 200878010

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DAYBREAK GROUP 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 MASON MORGAN 2014-07-23
001 2012-01-01 MARK DICKSON
001 2011-01-01 MARK DICKSON
001 2009-01-01 MASON MORGAN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2013-01-01	MASON MORGAN	2014-07-23
001	2012-01-01	MARK DICKSON
001	2011-01-01	MARK DICKSON
001	2009-01-01	MASON MORGAN

Plan Statistics for DAYBREAK GROUP 401(K) PLAN

401k plan membership statisitcs for DAYBREAK GROUP 401(K) PLAN

Measure Date Value
2012: DAYBREAK GROUP 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 730
Number of other retired or separated participants entitled to future benefits 2012-01-01 89
Total of all active and inactive participants 2012-01-01 89
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 90
Number of participants with account balances 2012-01-01 90
2011: DAYBREAK GROUP 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 649
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 608
Number of other retired or separated participants entitled to future benefits 2011-01-01 43
Total of all active and inactive participants 2011-01-01 651
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 2
Total participants 2011-01-01 653
Number of participants with account balances 2011-01-01 124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 2
2009: DAYBREAK GROUP 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 674
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 634
Number of retired or separated participants receiving benefits 2009-01-01 23
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 657
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 657
Number of participants with account balances 2009-01-01 81
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 364

Measure	Date	Value
2012: DAYBREAK GROUP 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	730
Number of other retired or separated participants entitled to future benefits	2012-01-01	89
Total of all active and inactive participants	2012-01-01	89
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	90
Number of participants with account balances	2012-01-01	90
2011: DAYBREAK GROUP 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	649
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	608
Number of other retired or separated participants entitled to future benefits	2011-01-01	43
Total of all active and inactive participants	2011-01-01	651
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	2
Total participants	2011-01-01	653
Number of participants with account balances	2011-01-01	124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	2
2009: DAYBREAK GROUP 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	674
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	634
Number of retired or separated participants receiving benefits	2009-01-01	23
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	657
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	657
Number of participants with account balances	2009-01-01	81
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	364

Financial Data on DAYBREAK GROUP 401(K) PLAN

Measure	Date	Value
2012 : DAYBREAK GROUP 401(K) PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$9
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$2,126
Total income from all sources (including contributions)	2012-12-31	$142,098
Total of all expenses incurred	2012-12-31	$155,535
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$148,959
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$72,529
Value of total assets at end of year	2012-12-31	$619,734
Value of total assets at beginning of year	2012-12-31	$635,288
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$6,576
Total interest from all sources	2012-12-31	$141
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	Yes
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$200,000
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$69,928
Participant contributions at end of year	2012-12-31	$1,630
Participant contributions at beginning of year	2012-12-31	$4,842
Participant contributions at beginning of year	2012-12-31	$2,500
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$2,601
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$9
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$2,126
Total non interest bearing cash at beginning of year	2012-12-31	$1,095
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$-13,437
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$619,725
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$633,162
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$616,973
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$625,722
Interest on participant loans	2012-12-31	$120
Interest earned on other investments	2012-12-31	$21
Value of interest in common/collective trusts at end of year	2012-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$1,131
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$1,129
Net investment gain/loss from pooled separate accounts	2012-12-31	$69,428
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$148,959
Contract administrator fees	2012-12-31	$6,576
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	WHITLEY PENN, LLP
Accountancy firm EIN	2012-12-31	752393478
2011 : DAYBREAK GROUP 401(K) PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$2,126
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$2,010
Total income from all sources (including contributions)	2011-12-31	$55,262
Total of all expenses incurred	2011-12-31	$100,917
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$91,571
Expenses. Certain deemed distributions of participant loans	2011-12-31	$1,087
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$73,218
Value of total assets at end of year	2011-12-31	$635,288
Value of total assets at beginning of year	2011-12-31	$680,827
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$8,259
Total interest from all sources	2011-12-31	$559
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$200,000
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$73,218
Participant contributions at end of year	2011-12-31	$4,842
Participant contributions at beginning of year	2011-12-31	$10,082
Participant contributions at end of year	2011-12-31	$2,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$2,126
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$2,010
Total non interest bearing cash at end of year	2011-12-31	$1,095
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-45,655
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$633,162
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$678,817
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$625,722
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$589,919
Interest on participant loans	2011-12-31	$354
Interest earned on other investments	2011-12-31	$205
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$551
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$551
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$1,129
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$80,275
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-18,515
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$91,571
Contract administrator fees	2011-12-31	$8,259
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	WHITLEY PENN, LLP
Accountancy firm EIN	2011-12-31	752393478
2010 : DAYBREAK GROUP 401(K) PLAN 2010 401k financial data
Total transfer of assets to this plan	2010-12-31	$316,279
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$2,010
Total income from all sources (including contributions)	2010-12-31	$150,223
Total of all expenses incurred	2010-12-31	$71,772
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$60,989
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$75,685
Value of total assets at end of year	2010-12-31	$680,827
Value of total assets at beginning of year	2010-12-31	$284,087
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$10,783
Total interest from all sources	2010-12-31	$2,508
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$200,000
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$75,685
Participant contributions at end of year	2010-12-31	$10,082
Participant contributions at beginning of year	2010-12-31	$16,769
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$2,010
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$78,451
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$678,817
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$284,087
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$178,751
Interest on participant loans	2010-12-31	$453
Interest earned on other investments	2010-12-31	$2,055
Value of interest in common/collective trusts at end of year	2010-12-31	$589,919
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$551
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$80,275
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$88,567
Net investment gain/loss from pooled separate accounts	2010-12-31	$72,030
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$60,989
Contract administrator fees	2010-12-31	$10,783
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	KNAPP & COMPANY, P.C.
Accountancy firm EIN	2010-12-31	752713030
2009 : DAYBREAK GROUP 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for DAYBREAK GROUP 401(K) PLAN

2012: DAYBREAK GROUP 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: DAYBREAK GROUP 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: DAYBREAK GROUP 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

96198

Policy instance

Insurance contract or identification number	96198
Number of Individuals Covered	98
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $2,532
Total amount of fees paid to insurance company	USD $393
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $211
Insurance broker organization code?	4
Amount paid for insurance broker fees	393
Additional information about fees paid to insurance broker	ADMINISTRATION
Insurance broker name	LINCOLN FINANCIAL SECURITIES

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

Policy contract number

936742-01

Policy instance

Insurance contract or identification number	936742-01
Insurance policy start date	2011-01-01
Insurance policy end date	2011-02-10
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

96198

Policy instance

Insurance contract or identification number	96198
Number of Individuals Covered	148
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $2,646
Total amount of fees paid to insurance company	USD $15
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

936742-01

Policy instance

Insurance contract or identification number	936742-01
Number of Individuals Covered	22
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $253
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

96198

Policy instance

Insurance contract or identification number	96198
Number of Individuals Covered	132
Insurance policy start date	2010-02-08
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $1,785
Total amount of fees paid to insurance company	USD $5,451
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	DAYBREAK GROUP LTD CO
Employer identification number (EIN):	200878010
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities