401k Plan data: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN plan

CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 401k Plan overview

Plan Name	CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN
Plan identification number	002

CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Offset plan - Plan benefits are subject to offset for retirement benefits provided in another plan or arrangement of the employer.
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)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
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.
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.

401k Sponsoring company profile

CLERMONT SENIOR SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name: CLERMONT SENIOR SERVICES, INC.

Employer identification number (EIN): 310832354

NAIC Classification: 812990
NAIC Description: All Other Personal Services

Additional information about CLERMONT SENIOR SERVICES, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 1973-01-31

Company Identification Number: 435003

Legal Registered Office Address: 2085 JAMES E SAULS SR DR
-
BATAVIA
United States of America (USA)
45103

More information about CLERMONT SENIOR SERVICES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01
002 2021-01-01
002 2020-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01
002 2017-01-01 GREG CARSON GREG CARSON 2018-07-18
002 2016-01-01 GREG CARSON GREG CARSON 2017-10-09
002 2015-01-01 GREG CARSON GREG CARSON 2016-08-17
002 2014-01-01 GREGORY CARSON GREGORY CARSON 2015-10-13
002 2013-01-01 GREGORY CARSON GREGORY CARSON 2014-10-10
002 2012-01-01 GREG CARSON
002 2011-01-01 GREGORY W. CARSON
002 2010-01-01 GEORGE R. BROWN GEORGE R. BROWN 2011-10-11
002 2009-01-01 GEORGE R. BROWN GEORGE R. BROWN 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2022-01-01
002	2021-01-01
002	2020-01-01
002	2020-01-01
002	2019-01-01
002	2018-01-01
002	2017-01-01	GREG CARSON	GREG CARSON	2018-07-18
002	2016-01-01	GREG CARSON	GREG CARSON	2017-10-09
002	2015-01-01	GREG CARSON	GREG CARSON	2016-08-17
002	2014-01-01	GREGORY CARSON	GREGORY CARSON	2015-10-13
002	2013-01-01	GREGORY CARSON	GREGORY CARSON	2014-10-10
002	2012-01-01	GREG CARSON
002	2011-01-01	GREGORY W. CARSON
002	2010-01-01	GEORGE R. BROWN	GEORGE R. BROWN	2011-10-11
002	2009-01-01	GEORGE R. BROWN	GEORGE R. BROWN	2010-10-14

Plan Statistics for CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN

401k plan membership statisitcs for CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN

Measure Date Value
2022: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 108
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 86
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 9
Total of all active and inactive participants 2022-01-01 95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 95
Number of participants with account balances 2022-01-01 73
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 1
2021: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 105
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 96
Number of retired or separated participants receiving benefits 2021-01-01 2
Number of other retired or separated participants entitled to future benefits 2021-01-01 16
Total of all active and inactive participants 2021-01-01 114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 114
Number of participants with account balances 2021-01-01 92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 3
2020: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 85
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 20
Total of all active and inactive participants 2020-01-01 105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 105
Number of participants with account balances 2020-01-01 104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 5
2019: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 122
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 89
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 11
Total of all active and inactive participants 2019-01-01 100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 100
Number of participants with account balances 2019-01-01 100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 1
2018: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 120
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 117
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 5
Total of all active and inactive participants 2018-01-01 122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 122
Number of participants with account balances 2018-01-01 100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 123
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 112
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 8
Total of all active and inactive participants 2017-01-01 120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 120
Number of participants with account balances 2017-01-01 113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 94
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 113
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 10
Total of all active and inactive participants 2016-01-01 123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 123
Number of participants with account balances 2016-01-01 113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 8
2015: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 122
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 91
Number of other retired or separated participants entitled to future benefits 2015-01-01 3
Total of all active and inactive participants 2015-01-01 94
Total participants 2015-01-01 94
Number of participants with account balances 2015-01-01 103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 5
2014: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 116
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 116
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 4
Total of all active and inactive participants 2014-01-01 120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 120
Number of participants with account balances 2014-01-01 93
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 109
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 113
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 3
Total of all active and inactive participants 2013-01-01 116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 116
Number of participants with account balances 2013-01-01 96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 107
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 107
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 2
Total of all active and inactive participants 2012-01-01 109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 109
Number of participants with account balances 2012-01-01 96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 109
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 101
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 6
Total of all active and inactive participants 2011-01-01 107
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 107
Number of participants with account balances 2011-01-01 107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 130
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 106
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 3
Total of all active and inactive participants 2010-01-01 109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 109
Number of participants with account balances 2010-01-01 96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 154
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 130
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 130
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 0

Measure	Date	Value
2022: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	86
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	9
Total of all active and inactive participants	2022-01-01	95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	95
Number of participants with account balances	2022-01-01	73
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	1
2021: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	105
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	96
Number of retired or separated participants receiving benefits	2021-01-01	2
Number of other retired or separated participants entitled to future benefits	2021-01-01	16
Total of all active and inactive participants	2021-01-01	114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	114
Number of participants with account balances	2021-01-01	92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	3
2020: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	85
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	20
Total of all active and inactive participants	2020-01-01	105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	105
Number of participants with account balances	2020-01-01	104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	5
2019: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	122
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	89
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	11
Total of all active and inactive participants	2019-01-01	100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	100
Number of participants with account balances	2019-01-01	100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	1
2018: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	120
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	117
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	5
Total of all active and inactive participants	2018-01-01	122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	122
Number of participants with account balances	2018-01-01	100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	123
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	112
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	8
Total of all active and inactive participants	2017-01-01	120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	120
Number of participants with account balances	2017-01-01	113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	94
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	113
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	10
Total of all active and inactive participants	2016-01-01	123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	123
Number of participants with account balances	2016-01-01	113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	8
2015: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	122
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	91
Number of other retired or separated participants entitled to future benefits	2015-01-01	3
Total of all active and inactive participants	2015-01-01	94
Total participants	2015-01-01	94
Number of participants with account balances	2015-01-01	103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	5
2014: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	116
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	116
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	4
Total of all active and inactive participants	2014-01-01	120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	120
Number of participants with account balances	2014-01-01	93
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	109
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	113
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	3
Total of all active and inactive participants	2013-01-01	116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	116
Number of participants with account balances	2013-01-01	96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	107
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	107
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	2
Total of all active and inactive participants	2012-01-01	109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	109
Number of participants with account balances	2012-01-01	96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	109
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	101
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	6
Total of all active and inactive participants	2011-01-01	107
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	107
Number of participants with account balances	2011-01-01	107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	130
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	106
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	3
Total of all active and inactive participants	2010-01-01	109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	109
Number of participants with account balances	2010-01-01	96
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	154
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	130
Number of retired or separated participants receiving benefits	2009-01-01	0
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	130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	130
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	0

Financial Data on CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN

Measure	Date	Value
2022 : CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$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	$0
Total income from all sources (including contributions)	2022-12-31	$-250,400
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$827,602
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$803,612
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$353,690
Value of total assets at end of year	2022-12-31	$2,658,951
Value of total assets at beginning of year	2022-12-31	$3,736,953
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$23,990
Total interest from all sources	2022-12-31	$1,410
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$58,524
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$58,524
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$107,812
Participant contributions at end of year	2022-12-31	$41,971
Participant contributions at beginning of year	2022-12-31	$13,783
Participant contributions at beginning of year	2022-12-31	$3,385
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$112,807
Other income not declared elsewhere	2022-12-31	$74
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-1,078,002
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$2,658,951
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$3,736,953
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	Yes
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$2,616,980
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$3,713,630
Interest on participant loans	2022-12-31	$1,410
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-664,098
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$133,071
Employer contributions (assets) at beginning of year	2022-12-31	$6,155
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$803,612
Contract administrator fees	2022-12-31	$23,990
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Qualified
Accountancy firm name	2022-12-31	BARNES DENNIG & CO., LTD.
Accountancy firm EIN	2022-12-31	311119890
2021 : CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$588,608
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$338,286
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$314,695
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$236,050
Value of total assets at end of year	2021-12-31	$3,736,953
Value of total assets at beginning of year	2021-12-31	$3,486,631
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$23,591
Total interest from all sources	2021-12-31	$434
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$505,856
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$505,856
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$95,160
Participant contributions at end of year	2021-12-31	$13,783
Participant contributions at beginning of year	2021-12-31	$10,381
Participant contributions at end of year	2021-12-31	$3,385
Participant contributions at beginning of year	2021-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$250,322
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$3,736,953
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$3,486,631
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$3,713,630
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$3,476,250
Interest on participant loans	2021-12-31	$434
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$-153,732
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$140,890
Employer contributions (assets) at end of year	2021-12-31	$6,155
Employer contributions (assets) at beginning of year	2021-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$314,695
Contract administrator fees	2021-12-31	$23,591
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	BARNES, DENNIG & COMPANY, LTD
Accountancy firm EIN	2021-12-31	311119890
2020 : CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$645,919
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$250,697
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$230,846
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$237,543
Value of total assets at end of year	2020-12-31	$3,486,631
Value of total assets at beginning of year	2020-12-31	$3,091,409
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$19,851
Total interest from all sources	2020-12-31	$147
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$126,934
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$126,934
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$88,634
Participant contributions at end of year	2020-12-31	$10,381
Participant contributions at beginning of year	2020-12-31	$697
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$395,222
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$3,486,631
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$3,091,409
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$3,476,250
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$3,090,712
Interest on participant loans	2020-12-31	$147
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$281,295
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$148,909
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$230,846
Contract administrator fees	2020-12-31	$19,851
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	BARNES, DENNIG & COMPANY, LTD
Accountancy firm EIN	2020-12-31	311119890
2019 : CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$730,605
Total loss/gain on sale of assets	2019-12-31	$17,178
Total of all expenses incurred	2019-12-31	$90,960
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$71,654
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$253,317
Value of total assets at end of year	2019-12-31	$3,091,409
Value of total assets at beginning of year	2019-12-31	$2,451,764
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$19,306
Total interest from all sources	2019-12-31	$75
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$79,996
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$79,996
Administrative expenses professional fees incurred	2019-12-31	$18,223
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$93,163
Participant contributions at end of year	2019-12-31	$697
Participant contributions at beginning of year	2019-12-31	$2,875
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$639,645
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$3,091,409
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$2,451,764
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$1,083
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$3,090,712
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$2,448,889
Interest on participant loans	2019-12-31	$75
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$380,039
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$160,154
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$71,654
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Aggregate proceeds on sale of assets	2019-12-31	$186,630
Aggregate carrying amount (costs) on sale of assets	2019-12-31	$169,452
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	BARNES, DENNIG & COMPANY, LTD
Accountancy firm EIN	2019-12-31	311119890
2018 : CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$95,338
Total loss/gain on sale of assets	2018-12-31	$5,192
Total of all expenses incurred	2018-12-31	$355,225
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$332,200
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$213,028
Value of total assets at end of year	2018-12-31	$2,451,764
Value of total assets at beginning of year	2018-12-31	$2,711,651
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$23,025
Total interest from all sources	2018-12-31	$289
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$83,858
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$83,858
Administrative expenses professional fees incurred	2018-12-31	$21,970
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$250,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$67,523
Participant contributions at end of year	2018-12-31	$2,875
Participant contributions at beginning of year	2018-12-31	$11,216
Other income not declared elsewhere	2018-12-31	$508
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-259,887
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$2,451,764
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$2,711,651
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$1,055
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$2,448,889
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$2,700,435
Interest on participant loans	2018-12-31	$289
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-207,537
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$145,505
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$332,200
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Aggregate proceeds on sale of assets	2018-12-31	$389,532
Aggregate carrying amount (costs) on sale of assets	2018-12-31	$384,340
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	BARNES, DENNIG & COMPANY, LTD
Accountancy firm EIN	2018-12-31	311119890
2017 : CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$554,273
Total loss/gain on sale of assets	2017-12-31	$191,314
Total of all expenses incurred	2017-12-31	$227,235
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$217,729
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$208,463
Value of total assets at end of year	2017-12-31	$2,711,651
Value of total assets at beginning of year	2017-12-31	$2,384,613
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$9,506
Total interest from all sources	2017-12-31	$680
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$72,443
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Administrative expenses professional fees incurred	2017-12-31	$9,506
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$250,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$67,542
Participant contributions at end of year	2017-12-31	$11,216
Participant contributions at beginning of year	2017-12-31	$20,760
Other income not declared elsewhere	2017-12-31	$-27
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$327,038
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$2,711,651
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$2,384,613
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$2,700,435
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$2,363,853
Interest on participant loans	2017-12-31	$680
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$81,400
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$140,921
Income. Dividends from common stock	2017-12-31	$72,443
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$217,729
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Aggregate proceeds on sale of assets	2017-12-31	$2,987,238
Aggregate carrying amount (costs) on sale of assets	2017-12-31	$2,795,924
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	BARNES, DENNIG & COMPANY, LTD
Accountancy firm EIN	2017-12-31	311119890
2016 : CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2016-12-31	$13
Total unrealized appreciation/depreciation of assets	2016-12-31	$13
Total income from all sources (including contributions)	2016-12-31	$376,161
Total loss/gain on sale of assets	2016-12-31	$2,538
Total of all expenses incurred	2016-12-31	$216,634
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$207,305
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$216,062
Value of total assets at end of year	2016-12-31	$2,384,613
Value of total assets at beginning of year	2016-12-31	$2,225,086
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$9,329
Total interest from all sources	2016-12-31	$1,103
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$87,532
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$9,329
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$250,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$75,662
Participant contributions at end of year	2016-12-31	$20,760
Participant contributions at beginning of year	2016-12-31	$31,173
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$159,527
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$2,384,613
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$2,225,086
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$2,363,853
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$2,193,913
Interest on participant loans	2016-12-31	$1,103
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$68,913
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$140,400
Income. Dividends from common stock	2016-12-31	$87,532
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$207,305
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Aggregate proceeds on sale of assets	2016-12-31	$271,228
Aggregate carrying amount (costs) on sale of assets	2016-12-31	$268,690
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	BRIXEY & MEYER, INC.
Accountancy firm EIN	2016-12-31	300132514
2015 : CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$166,501
Total loss/gain on sale of assets	2015-12-31	$-1,194
Total of all expenses incurred	2015-12-31	$206,790
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$197,786
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$218,443
Value of total assets at end of year	2015-12-31	$2,225,086
Value of total assets at beginning of year	2015-12-31	$2,265,375
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$9,004
Total interest from all sources	2015-12-31	$1,204
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$44,743
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Administrative expenses professional fees incurred	2015-12-31	$9,004
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$250,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$85,368
Participant contributions at end of year	2015-12-31	$31,173
Participant contributions at beginning of year	2015-12-31	$25,825
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-40,289
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$2,225,086
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$2,265,375
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$2,193,913
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$2,239,550
Interest on participant loans	2015-12-31	$1,204
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-96,695
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$133,075
Income. Dividends from common stock	2015-12-31	$44,743
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$197,786
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Aggregate proceeds on sale of assets	2015-12-31	$244,383
Aggregate carrying amount (costs) on sale of assets	2015-12-31	$245,577
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	KAMPHAUS HENNING & HOOD CPAS INC
Accountancy firm EIN	2015-12-31	311107264
2014 : CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total transfer of assets to this plan	2014-12-31	$58
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	$354,634
Total loss/gain on sale of assets	2014-12-31	$7,437
Total of all expenses incurred	2014-12-31	$154,052
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$145,783
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$212,291
Value of total assets at end of year	2014-12-31	$2,265,375
Value of total assets at beginning of year	2014-12-31	$2,064,735
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$8,269
Total interest from all sources	2014-12-31	$1,173
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$79,214
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$8,269
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$250,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$81,325
Participant contributions at end of year	2014-12-31	$25,825
Participant contributions at beginning of year	2014-12-31	$32,468
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$200,582
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$2,265,375
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$2,064,735
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$2,239,550
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$2,032,267
Interest on participant loans	2014-12-31	$1,173
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$54,519
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$130,966
Income. Dividends from common stock	2014-12-31	$79,214
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$145,783
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Aggregate proceeds on sale of assets	2014-12-31	$386,005
Aggregate carrying amount (costs) on sale of assets	2014-12-31	$378,568
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	KAMPHAUS, HENNING AND HOOD CPAS INC
Accountancy firm EIN	2014-12-31	311107264
2013 : CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$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	$420,480
Total loss/gain on sale of assets	2013-12-31	$-569
Total of all expenses incurred	2013-12-31	$257,243
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$257,068
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$207,272
Value of total assets at end of year	2013-12-31	$2,064,735
Value of total assets at beginning of year	2013-12-31	$1,901,498
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$175
Total interest from all sources	2013-12-31	$1,071
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$44,529
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$44,529
Administrative expenses professional fees incurred	2013-12-31	$175
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$250,000
If this is an individual account plan, was there a blackout period	2013-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$77,632
Participant contributions at end of year	2013-12-31	$32,468
Participant contributions at beginning of year	2013-12-31	$5,548
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$77
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$163,237
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$2,064,735
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$1,901,498
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$2,032,267
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$1,895,390
Interest on participant loans	2013-12-31	$1,071
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$560
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$560
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$168,177
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$129,563
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$257,068
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	Yes
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Aggregate proceeds on sale of assets	2013-12-31	$2,105,878
Aggregate carrying amount (costs) on sale of assets	2013-12-31	$2,106,447
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	KAMPHAUS HENNING AND HOOD CPAS INC
Accountancy firm EIN	2013-12-31	311107264
2012 : CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total transfer of assets to this plan	2012-12-31	$1,020
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	$561,224
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$328,137
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$326,622
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$375,652
Value of total assets at end of year	2012-12-31	$1,901,498
Value of total assets at beginning of year	2012-12-31	$1,667,391
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$1,515
Total interest from all sources	2012-12-31	$323
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$31,987
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$31,987
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$81,217
Participant contributions at end of year	2012-12-31	$5,548
Participant contributions at beginning of year	2012-12-31	$17,732
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$157,639
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	$233,087
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$1,901,498
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,667,391
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	$1,895,390
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,649,659
Interest on participant loans	2012-12-31	$323
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$560
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$153,262
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
Contributions received in cash from employer	2012-12-31	$136,796
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$326,622
Contract administrator fees	2012-12-31	$1,515
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	Yes
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	KAMPHAUS HENNING AND HOOD CPAS INC
Accountancy firm EIN	2012-12-31	311107264
2011 : CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets to this plan	2011-12-31	$12,066
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	$1,130,516
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$215,892
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$215,575
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,127,913
Value of total assets at end of year	2011-12-31	$1,666,899
Value of total assets at beginning of year	2011-12-31	$752,275
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$317
Total interest from all sources	2011-12-31	$506
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$19,855
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	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$93,366
Participant contributions at end of year	2011-12-31	$17,452
Participant contributions at beginning of year	2011-12-31	$3,033
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$1,017,442
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	$914,624
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,666,899
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$752,275
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	$1,649,447
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$749,236
Interest on participant loans	2011-12-31	$506
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$6
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$6
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-17,758
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	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$17,105
Income. Dividends from common stock	2011-12-31	$19,855
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$215,575
Contract administrator fees	2011-12-31	$317
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	Yes
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	KAMPHAUS HENNING & HOOD CPAS INC
Accountancy firm EIN	2011-12-31	311107264
2010 : CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$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	$153,700
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$55,700
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$55,039
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$91,437
Value of total assets at end of year	2010-12-31	$752,275
Value of total assets at beginning of year	2010-12-31	$654,275
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$661
Total interest from all sources	2010-12-31	$74
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$2,015
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$2,015
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$91,112
Participant contributions at end of year	2010-12-31	$3,033
Participant contributions at beginning of year	2010-12-31	$424
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$325
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	$98,000
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$752,275
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$654,275
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 registered invesment companies (eg mutual funds) at end of year	2010-12-31	$749,236
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$392,189
Interest on participant loans	2010-12-31	$68
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$6
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$6
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$261,662
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$60,174
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	No
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	$55,039
Contract administrator fees	2010-12-31	$661
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	Yes
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	KAMPHAUS, HENNING & HOOD CPA'S INC.
Accountancy firm EIN	2010-12-31	311107264
2009 : CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT 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 CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN

2022: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	Yes
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: CLERMONT SENIOR SERVICES INC 403(B) RETIREMENT 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 - Trust	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

467968

Policy instance

Insurance contract or identification number	467968
Number of Individuals Covered	95
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
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

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G62179

Policy instance

Insurance contract or identification number	G62179
Number of Individuals Covered	0
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $1,246
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

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Company Name:	CLERMONT SENIOR SERVICES, INC.
Employer identification number (EIN):	310832354
NAIC Classification:	812990
NAIC Description:	All Other Personal Services

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	1973-01-31
Company Identification Number:	435003
Legal Registered Office Address:	2085 JAMES E SAULS SR DR - BATAVIA United States of America (USA) 45103