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FIRST COMMUNITY VILLAGE FIRST COMMUNITY FINAL 401k Plan overview

Plan NameFIRST COMMUNITY VILLAGE FIRST COMMUNITY FINAL
Plan identification number 002

FIRST COMMUNITY VILLAGE FIRST COMMUNITY FINAL Benefits

401k Plan Type
Plan Features/Benefits

    401k Sponsoring company profile

    FIRST COMMUNITY VILLAGE has sponsored the creation of one or more 401k plans.

    Company Name:FIRST COMMUNITY VILLAGE
    Employer identification number (EIN):310655502
    NAIC Classification:623000
    NAIC Description: Nursing and Residential Care Facilities

    Additional information about FIRST COMMUNITY VILLAGE

    Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
    Incorporation Date: 1961-03-17
    Company Identification Number: 298822
    Legal Registered Office Address: 904 MASTER DRIVE
    -
    GALLOWAY
    United States of America (USA)
    43119

    More information about FIRST COMMUNITY VILLAGE

    Form 5500 Filing Information

    Submission information for form 5500 for 401k plan FIRST COMMUNITY VILLAGE FIRST COMMUNITY FINAL

    Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
    0022012-01-01DAVID KAYUHA
    0022011-01-01DAVID KAYUHA
    0022009-01-01DIANE TOMLINSON DIANE TOMLINSON2010-10-05

    Plan Statistics for FIRST COMMUNITY VILLAGE FIRST COMMUNITY FINAL

    401k plan membership statisitcs for FIRST COMMUNITY VILLAGE FIRST COMMUNITY FINAL

    Measure Date Value
    2012: FIRST COMMUNITY VILLAGE FIRST COMMUNITY FINAL 2012 401k membership
    Total participants, beginning-of-year2012-01-011
    Total number of active participants reported on line 7a of the Form 55002012-01-010
    Number of retired or separated participants receiving benefits2012-01-010
    Number of other retired or separated participants entitled to future benefits2012-01-010
    Total of all active and inactive participants2012-01-010
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
    Total participants2012-01-010
    Number of participants with account balances2012-01-010
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
    2011: FIRST COMMUNITY VILLAGE FIRST COMMUNITY FINAL 2011 401k membership
    Total participants, beginning-of-year2011-01-01230
    Total number of active participants reported on line 7a of the Form 55002011-01-011
    Number of retired or separated participants receiving benefits2011-01-010
    Number of other retired or separated participants entitled to future benefits2011-01-010
    Total of all active and inactive participants2011-01-011
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
    Total participants2011-01-011
    Number of participants with account balances2011-01-011
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
    2009: FIRST COMMUNITY VILLAGE FIRST COMMUNITY FINAL 2009 401k membership
    Total participants, beginning-of-year2009-01-01224
    Total number of active participants reported on line 7a of the Form 55002009-01-01185
    Number of retired or separated participants receiving benefits2009-01-019
    Number of other retired or separated participants entitled to future benefits2009-01-0136
    Total of all active and inactive participants2009-01-01230
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-011
    Total participants2009-01-01231
    Number of participants with account balances2009-01-01231
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

    Financial Data on FIRST COMMUNITY VILLAGE FIRST COMMUNITY FINAL

    Measure Date Value
    2012 : FIRST COMMUNITY VILLAGE FIRST COMMUNITY FINAL 2012 401k financial data
    Total income from all sources2012-05-03$-53
    Expenses. Total of all expenses incurred2012-05-03$20,564
    Benefits paid (including direct rollovers)2012-05-03$20,564
    Total plan assets at end of year2012-05-03$0
    Total plan assets at beginning of year2012-05-03$20,617
    Value of fidelity bond covering the plan2012-05-03$500,000
    Other income received2012-05-03$-53
    Net income (gross income less expenses)2012-05-03$-20,617
    Net plan assets at end of year (total assets less liabilities)2012-05-03$0
    Net plan assets at beginning of year (total assets less liabilities)2012-05-03$20,617
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-05-03$0
    Funding deficiency by the employer to the plan for this plan year2012-05-03$0
    Minimum employer required contribution for this plan year2012-05-03$0
    Amount contributed by the employer to the plan for this plan year2012-05-03$0
    2011 : FIRST COMMUNITY VILLAGE FIRST COMMUNITY FINAL 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$27,451
    Total loss/gain on sale of assets2011-12-31$0
    Total of all expenses incurred2011-12-31$2,841,611
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$2,831,591
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$0
    Value of total assets at end of year2011-12-31$20,617
    Value of total assets at beginning of year2011-12-31$2,834,777
    Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$10,020
    Total interest from all sources2011-12-31$0
    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 year2011-12-31Yes
    Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2011-12-31$0
    Administrative expenses professional fees incurred2011-12-31$10,020
    Was this plan covered by a fidelity bond2011-12-31Yes
    Value of fidelity bond cover2011-12-31$500,000
    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
    Funding deficiency by the employer to the plan for this plan year2011-12-31$0
    Minimum employer required contribution for this plan year2011-12-31$0
    Amount contributed by the employer to the plan for this plan year2011-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2011-12-31No
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
    Value of net income/loss2011-12-31$-2,814,160
    Value of net assets at end of year (total assets less liabilities)2011-12-31$20,617
    Value of net assets at beginning of year (total assets less liabilities)2011-12-31$2,834,777
    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
    Value of interest in pooled separate accounts at end of year2011-12-31$20,617
    Value of interest in pooled separate accounts at beginning of year2011-12-31$1,775,730
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$0
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$964,114
    Net investment gain or loss from common/collective trusts2011-12-31$27,451
    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
    Employer contributions (assets) at end of year2011-12-31$0
    Employer contributions (assets) at beginning of year2011-12-31$94,933
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$2,831,591
    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 name2011-12-31HOWARD WERSHBALE & CO
    Accountancy firm EIN2011-12-31341663157
    2010 : FIRST COMMUNITY VILLAGE FIRST COMMUNITY FINAL 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$511,778
    Total loss/gain on sale of assets2010-12-31$0
    Total of all expenses incurred2010-12-31$366,422
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$366,422
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$316,456
    Value of total assets at end of year2010-12-31$2,834,777
    Value of total assets at beginning of year2010-12-31$2,689,421
    Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$0
    Total interest from all sources2010-12-31$26,966
    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$500,000
    If this is an individual account plan, was there a blackout period2010-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
    Funding deficiency by the employer to the plan for this plan year2010-12-31$0
    Minimum employer required contribution for this plan year2010-12-31$307,446
    Amount contributed by the employer to the plan for this plan year2010-12-31$307,446
    Were there any nonexempt tranactions with any party-in-interest2010-12-31No
    Contributions received from participants2010-12-31$8,710
    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$145,356
    Value of net assets at end of year (total assets less liabilities)2010-12-31$2,834,777
    Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,689,421
    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
    Value of interest in pooled separate accounts at end of year2010-12-31$1,775,730
    Value of interest in pooled separate accounts at beginning of year2010-12-31$1,612,529
    Interest earned on other investments2010-12-31$26,966
    Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$0
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$964,114
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$970,960
    Net investment gain or loss from common/collective trusts2010-12-31$168,356
    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$307,746
    Employer contributions (assets) at end of year2010-12-31$94,933
    Employer contributions (assets) at beginning of year2010-12-31$105,932
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$366,422
    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 name2010-12-31HOWARD WERSHBALE & CO
    Accountancy firm EIN2010-12-31341663157
    2009 : FIRST COMMUNITY VILLAGE FIRST COMMUNITY FINAL 2009 401k financial data
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0
    Funding deficiency by the employer to the plan for this plan year2009-12-31$0
    Minimum employer required contribution for this plan year2009-12-31$316,806
    Amount contributed by the employer to the plan for this plan year2009-12-31$316,806

    Form 5500 Responses for FIRST COMMUNITY VILLAGE FIRST COMMUNITY FINAL

    2012: FIRST COMMUNITY VILLAGE FIRST COMMUNITY FINAL 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 filingYes
    2012-01-01This return/report is a short plan year return/report (less than 12 months)Yes
    2012-01-01Plan is a collectively bargained planNo
    2012-01-01Plan funding arrangement – InsuranceYes
    2012-01-01Plan benefit arrangement – InsuranceYes
    2011: FIRST COMMUNITY VILLAGE FIRST COMMUNITY FINAL 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 benefit arrangement – InsuranceYes
    2009: FIRST COMMUNITY VILLAGE FIRST COMMUNITY FINAL 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 benefit arrangement – InsuranceYes

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