401k Plan data: SPRING CREEK MANAGEMENT, LP plan

SPRING CREEK MANAGEMENT, LP 401k Plan overview

Plan Name	SPRING CREEK MANAGEMENT, LP
Plan identification number	501

SPRING CREEK MANAGEMENT, LP Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

SPRING CREEK MANAGEMENT, LP has sponsored the creation of one or more 401k plans.

Company Name: SPRING CREEK MANAGEMENT, LP

Employer identification number (EIN): 205369976

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

Additional information about SPRING CREEK MANAGEMENT, LP

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 4203449

More information about SPRING CREEK MANAGEMENT, LP

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SPRING CREEK MANAGEMENT, LP

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2014-01-01 ANNE DAY ANNE DAY 2015-09-29
501 2013-01-01 ANNE DAY ANNE DAY 2014-10-14
501 2012-01-01 ANNE DAY ANNE DAY 2013-10-14
501 2011-01-01 ANNE DAY ANNE DAY 2012-10-15
501 2010-01-01 ANNE DAY ANNE DAY 2011-10-17
501 2009-01-01 ANNE M DAY

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2014-01-01	ANNE DAY	ANNE DAY	2015-09-29
501	2013-01-01	ANNE DAY	ANNE DAY	2014-10-14
501	2012-01-01	ANNE DAY	ANNE DAY	2013-10-14
501	2011-01-01	ANNE DAY	ANNE DAY	2012-10-15
501	2010-01-01	ANNE DAY	ANNE DAY	2011-10-17
501	2009-01-01	ANNE M DAY

Plan Statistics for SPRING CREEK MANAGEMENT, LP

401k plan membership statisitcs for SPRING CREEK MANAGEMENT, LP

Measure Date Value
2014: SPRING CREEK MANAGEMENT, LP 2014 401k membership
Total participants, beginning-of-year 2014-01-01 211
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 247
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 247
2013: SPRING CREEK MANAGEMENT, LP 2013 401k membership
Total participants, beginning-of-year 2013-01-01 222
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 211
Total of all active and inactive participants 2013-01-01 211
2012: SPRING CREEK MANAGEMENT, LP 2012 401k membership
Total participants, beginning-of-year 2012-01-01 215
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 222
Total of all active and inactive participants 2012-01-01 222
Total participants 2012-01-01 222
2011: SPRING CREEK MANAGEMENT, LP 2011 401k membership
Total participants, beginning-of-year 2011-01-01 222
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 215
Total of all active and inactive participants 2011-01-01 215
Total participants 2011-01-01 215
2010: SPRING CREEK MANAGEMENT, LP 2010 401k membership
Total participants, beginning-of-year 2010-01-01 224
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 222
Total of all active and inactive participants 2010-01-01 222
Total participants 2010-01-01 222
2009: SPRING CREEK MANAGEMENT, LP 2009 401k membership
Total participants, beginning-of-year 2009-01-01 173
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 224
Total of all active and inactive participants 2009-01-01 224
Total participants 2009-01-01 224

Measure	Date	Value
2014: SPRING CREEK MANAGEMENT, LP 2014 401k membership
Total participants, beginning-of-year	2014-01-01	211
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	247
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	247
2013: SPRING CREEK MANAGEMENT, LP 2013 401k membership
Total participants, beginning-of-year	2013-01-01	222
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	211
Total of all active and inactive participants	2013-01-01	211
2012: SPRING CREEK MANAGEMENT, LP 2012 401k membership
Total participants, beginning-of-year	2012-01-01	215
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	222
Total of all active and inactive participants	2012-01-01	222
Total participants	2012-01-01	222
2011: SPRING CREEK MANAGEMENT, LP 2011 401k membership
Total participants, beginning-of-year	2011-01-01	222
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	215
Total of all active and inactive participants	2011-01-01	215
Total participants	2011-01-01	215
2010: SPRING CREEK MANAGEMENT, LP 2010 401k membership
Total participants, beginning-of-year	2010-01-01	224
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	222
Total of all active and inactive participants	2010-01-01	222
Total participants	2010-01-01	222
2009: SPRING CREEK MANAGEMENT, LP 2009 401k membership
Total participants, beginning-of-year	2009-01-01	173
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	224
Total of all active and inactive participants	2009-01-01	224
Total participants	2009-01-01	224

Form 5500 Responses for SPRING CREEK MANAGEMENT, LP

2014: SPRING CREEK MANAGEMENT, LP 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: SPRING CREEK MANAGEMENT, LP 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: SPRING CREEK MANAGEMENT, LP 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 benefit arrangement – Insurance	Yes
2011: SPRING CREEK MANAGEMENT, LP 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 benefit arrangement – Insurance	Yes
2010: SPRING CREEK MANAGEMENT, LP 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: SPRING CREEK MANAGEMENT, LP 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )

Policy contract number

F018584

Policy instance

Insurance contract or identification number	F018584
Number of Individuals Covered	247
Insurance policy start date	2014-05-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $4,618
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ADD
Welfare Benefit Premiums Paid to Carrier	USD $30,787
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,618
Insurance broker organization code?	3
Insurance broker name	SAUVE CONSULTING GROUP INC

HEALTHAMERICA OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 95060 )

Policy contract number

1808860000

Policy instance

Insurance contract or identification number	1808860000
Number of Individuals Covered	233
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $34,036
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $850,896
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $34,036
Insurance broker organization code?	3
Insurance broker name	SUAVE CONSULTING GROUP, INC.

CAPITAL ADVANTAGE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14411 )

Policy contract number

00519993

Policy instance

Insurance contract or identification number	00519993
Number of Individuals Covered	169
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $3,709
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $92,717
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,709
Insurance broker organization code?	3
Insurance broker name	SAUVE CONSULTING GROUP INC

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )

Policy contract number

F018584

Policy instance

Insurance contract or identification number	F018584
Number of Individuals Covered	211
Insurance policy start date	2013-05-01
Insurance policy end date	2014-04-30
Total amount of commissions paid to insurance broker	USD $6,811
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ADD
Welfare Benefit Premiums Paid to Carrier	USD $45,405
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,811
Insurance broker organization code?	3
Insurance broker name	SAUVE CONSULTING GROUP INC

CAPITAL ADVANTAGE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 41203 )

Policy contract number

00519993

Policy instance

Insurance contract or identification number	00519993
Number of Individuals Covered	148
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $3,856
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $96,406
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,856
Insurance broker organization code?	3
Insurance broker name	SAUVE CONSULTING GROUP INC

HEALTHAMERICA OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 95060 )

Policy contract number

1808860000

Policy instance

Insurance contract or identification number	1808860000
Number of Individuals Covered	200
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $32,368
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $809,195
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $32,368
Insurance broker organization code?	3
Insurance broker name	SUAVE CONSULTING GROUP, INC.

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )

Policy contract number

F018584

Policy instance

Insurance contract or identification number	F018584
Number of Individuals Covered	222
Insurance policy start date	2012-05-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $4,902
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ADD
Welfare Benefit Premiums Paid to Carrier	USD $32,675
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,887
Insurance broker organization code?	3
Insurance broker name	SAUVE CONSULTING GROUP INC

PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )

Policy contract number

0007440847

Policy instance

Insurance contract or identification number	0007440847
Number of Individuals Covered	393
Insurance policy start date	2012-01-01
Insurance policy end date	2013-01-01
Total amount of commissions paid to insurance broker	USD $10,273
Total amount of fees paid to insurance company	USD $40
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $88,622
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,273
Amount paid for insurance broker fees	40
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3
Insurance broker name	EMERSON REID

CAPITAL ADVANTAGE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 41203 )

Policy contract number

00519993

Policy instance

Insurance contract or identification number	00519993
Number of Individuals Covered	189
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $45,544
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,138,580
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $26,565
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3
Insurance broker name	SAUVE CONSULTING GROUP INC

UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 )

Policy contract number

859618-099&-000

Policy instance

Insurance contract or identification number	859618-099&-000
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 $7,233
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $71,257
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

R0325373

Policy instance

Insurance contract or identification number	R0325373
Number of Individuals Covered	203
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $6,982
Total amount of fees paid to insurance company	USD $905
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $36,214
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HEALTHAMERICA OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 95060 )

Policy contract number

1804640000

Policy instance

Insurance contract or identification number	1804640000
Number of Individuals Covered	215
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $58,980
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,179,608
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )

Policy contract number

SCM-001

Policy instance

Insurance contract or identification number	SCM-001
Number of Individuals Covered	135
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $1,625
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $16,253
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 )

Policy contract number

859618-099&-000

Policy instance

Insurance contract or identification number	859618-099&-000
Number of Individuals Covered	147
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $7,216
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $65,349
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )

Policy contract number

SCM-001

Policy instance

Insurance contract or identification number	SCM-001
Number of Individuals Covered	132
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $1,524
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $15,236
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000010111051

Policy instance

Insurance contract or identification number	000010111051
Number of Individuals Covered	222
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $3,445
Total amount of fees paid to insurance company	USD $867
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $28,908
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000010111050

Policy instance

Insurance contract or identification number	000010111050
Number of Individuals Covered	222
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $1,606
Total amount of fees paid to insurance company	USD $449
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $14,956
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HEALTHAMERICA OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 95060 )

Policy contract number

109751

Policy instance

Insurance contract or identification number	109751
Number of Individuals Covered	216
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $36,343
Total amount of fees paid to insurance company	USD $3,630
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $726,876
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	SPRING CREEK MANAGEMENT, LP
Employer identification number (EIN):	205369976
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	4203449