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LIFESTREAM COMPLETE SENIOR LIVING, INC. 403(B)(7) RETIREMENT PLAN 401k Plan overview

Plan NameLIFESTREAM COMPLETE SENIOR LIVING, INC. 403(B)(7) RETIREMENT PLAN
Plan identification number 001

LIFESTREAM COMPLETE SENIOR LIVING, INC. 403(B)(7) RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

LIFESTREAM COMPLETE SENIOR LIVING, INC. has sponsored the creation of one or more 401k plans.

Company Name:LIFESTREAM COMPLETE SENIOR LIVING, INC.
Employer identification number (EIN):237458267
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFESTREAM COMPLETE SENIOR LIVING, INC. 403(B)(7) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012016-07-01RON ESTES
0012015-07-01DONNA TAYLOR

Financial Data on LIFESTREAM COMPLETE SENIOR LIVING, INC. 403(B)(7) RETIREMENT PLAN

Measure Date Value
2017 : LIFESTREAM COMPLETE SENIOR LIVING, INC. 403(B)(7) RETIREMENT PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-06-30$450,488
Total of all expenses incurred2017-06-30$38,730
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$38,113
Value of total corrective distributions2017-06-30$247
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$390,460
Value of total assets at end of year2017-06-30$757,807
Value of total assets at beginning of year2017-06-30$346,049
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$370
Total interest from all sources2017-06-30$175
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$19,428
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-06-30$19,428
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$500,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$260,507
Participant contributions at end of year2017-06-30$9,971
Income. Received or receivable in cash from other sources (including rollovers)2017-06-30$16,662
Administrative expenses (other) incurred2017-06-30$370
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$411,758
Value of net assets at end of year (total assets less liabilities)2017-06-30$757,807
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$346,049
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$747,836
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$346,049
Interest on participant loans2017-06-30$175
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-06-30$40,425
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$113,291
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$38,113
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-06-30No
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30Yes
Opinion of an independent qualified public accountant for this plan2017-06-30Disclaimer
Accountancy firm name2017-06-30CLIFTONLARSONALLEN, LLP
Accountancy firm EIN2017-06-30410746749
2016 : LIFESTREAM COMPLETE SENIOR LIVING, INC. 403(B)(7) RETIREMENT PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-06-30$356,959
Total of all expenses incurred2016-06-30$10,910
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$10,910
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$349,151
Value of total assets at end of year2016-06-30$346,049
Value of total assets at beginning of year2016-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$24,928
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-06-30$24,928
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$500,000
If this is an individual account plan, was there a blackout period2016-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-06-30$0
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$211,721
Income. Received or receivable in cash from other sources (including rollovers)2016-06-30$39,791
Total non interest bearing cash at beginning of year2016-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$346,049
Value of net assets at end of year (total assets less liabilities)2016-06-30$346,049
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$346,049
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-06-30$-17,120
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$97,639
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$10,910
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-06-30No
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30Yes
Opinion of an independent qualified public accountant for this plan2016-06-30Disclaimer
Accountancy firm name2016-06-30CLIFTONLARSONALLEN, LLP
Accountancy firm EIN2016-06-30410746749

Form 5500 Responses for LIFESTREAM COMPLETE SENIOR LIVING, INC. 403(B)(7) RETIREMENT PLAN

2016: LIFESTREAM COMPLETE SENIOR LIVING, INC. 403(B)(7) RETIREMENT PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01This submission is the final filingYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement - TrustYes
2015: LIFESTREAM COMPLETE SENIOR LIVING, INC. 403(B)(7) RETIREMENT PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01First time form 5500 has been submittedYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement - TrustYes

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