401k Plan data: CEDAR VILLAGE 403(B) MATCHING PLAN plan

CEDAR VILLAGE 403(B) MATCHING PLAN 401k Plan overview

Plan Name	CEDAR VILLAGE 403(B) MATCHING PLAN
Plan identification number	001

CEDAR VILLAGE 403(B) MATCHING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 403(b)(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.

401k Sponsoring company profile

JEWISH HOME OF CINCINNATI, INC. has sponsored the creation of one or more 401k plans.

Company Name: JEWISH HOME OF CINCINNATI, INC.

Employer identification number (EIN): 311345871

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

Additional information about JEWISH HOME OF CINCINNATI, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 1992-01-10

Company Identification Number: 810338

Legal Registered Office Address: 9277 CENTRE POINTE DRIVE - #100
-
WEST CHESTER
United States of America (USA)
45069

More information about JEWISH HOME OF CINCINNATI, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CEDAR VILLAGE 403(B) MATCHING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01 OSCAR JARNICKI 2019-10-06
001 2018-01-01 OSCAR JARNICKI 2019-10-06
001 2017-01-01
001 2016-01-01
001 2015-01-01 JANICE WOOLES
001 2014-01-01 TERRON CRUEY
001 2013-01-01 CAROL SILVER ELLIOTT
001 2012-01-01 CAROL SILVER ELLIOTT
001 2011-01-01 CAROL SILVER ELLIOTT
001 2010-01-01 CAROL SILVER ELLIOTT
001 2009-01-01 TERRON CRUEY TERRON CRUEY 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2019-01-01	OSCAR JARNICKI	2019-10-06
001	2018-01-01	OSCAR JARNICKI	2019-10-06
001	2017-01-01
001	2016-01-01
001	2015-01-01	JANICE WOOLES
001	2014-01-01	TERRON CRUEY
001	2013-01-01	CAROL SILVER ELLIOTT
001	2012-01-01	CAROL SILVER ELLIOTT
001	2011-01-01	CAROL SILVER ELLIOTT
001	2010-01-01	CAROL SILVER ELLIOTT
001	2009-01-01	TERRON CRUEY		TERRON CRUEY	2010-10-14

Plan Statistics for CEDAR VILLAGE 403(B) MATCHING PLAN

401k plan membership statisitcs for CEDAR VILLAGE 403(B) MATCHING PLAN

Measure Date Value
2019: CEDAR VILLAGE 403(B) MATCHING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 136
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
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 0
Total of all active and inactive participants 2019-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 0
Number of participants with account balances 2019-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: CEDAR VILLAGE 403(B) MATCHING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 382
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 89
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 47
Total of all active and inactive participants 2018-01-01 136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 136
Number of participants with account balances 2018-01-01 113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: CEDAR VILLAGE 403(B) MATCHING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 453
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 279
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 103
Total of all active and inactive participants 2017-01-01 382
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 382
Number of participants with account balances 2017-01-01 303
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: CEDAR VILLAGE 403(B) MATCHING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 458
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 359
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 94
Total of all active and inactive participants 2016-01-01 453
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 453
Number of participants with account balances 2016-01-01 346
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: CEDAR VILLAGE 403(B) MATCHING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 425
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 382
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 76
Total of all active and inactive participants 2015-01-01 458
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 458
Number of participants with account balances 2015-01-01 358
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: CEDAR VILLAGE 403(B) MATCHING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 465
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 364
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 61
Total of all active and inactive participants 2014-01-01 425
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 425
Number of participants with account balances 2014-01-01 313
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: CEDAR VILLAGE 403(B) MATCHING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 501
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 401
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 64
Total of all active and inactive participants 2013-01-01 465
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 465
Number of participants with account balances 2013-01-01 313
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: CEDAR VILLAGE 403(B) MATCHING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 412
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 373
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 128
Total of all active and inactive participants 2012-01-01 501
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 501
Number of participants with account balances 2012-01-01 360
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: CEDAR VILLAGE 403(B) MATCHING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 336
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 371
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 41
Total of all active and inactive participants 2011-01-01 412
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 412
Number of participants with account balances 2011-01-01 246
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: CEDAR VILLAGE 403(B) MATCHING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 335
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 331
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 5
Total of all active and inactive participants 2010-01-01 336
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 336
Number of participants with account balances 2010-01-01 132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: CEDAR VILLAGE 403(B) MATCHING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 322
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 315
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 20
Total of all active and inactive participants 2009-01-01 335
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 335
Number of participants with account balances 2009-01-01 105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2019: CEDAR VILLAGE 403(B) MATCHING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	136
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
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	0
Total of all active and inactive participants	2019-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	0
Number of participants with account balances	2019-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: CEDAR VILLAGE 403(B) MATCHING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	382
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	89
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	47
Total of all active and inactive participants	2018-01-01	136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	136
Number of participants with account balances	2018-01-01	113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: CEDAR VILLAGE 403(B) MATCHING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	453
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	279
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	103
Total of all active and inactive participants	2017-01-01	382
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	382
Number of participants with account balances	2017-01-01	303
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: CEDAR VILLAGE 403(B) MATCHING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	458
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	359
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	94
Total of all active and inactive participants	2016-01-01	453
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	453
Number of participants with account balances	2016-01-01	346
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: CEDAR VILLAGE 403(B) MATCHING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	425
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	382
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	76
Total of all active and inactive participants	2015-01-01	458
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	458
Number of participants with account balances	2015-01-01	358
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: CEDAR VILLAGE 403(B) MATCHING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	465
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	364
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	61
Total of all active and inactive participants	2014-01-01	425
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	425
Number of participants with account balances	2014-01-01	313
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: CEDAR VILLAGE 403(B) MATCHING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	501
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	401
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	64
Total of all active and inactive participants	2013-01-01	465
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	465
Number of participants with account balances	2013-01-01	313
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: CEDAR VILLAGE 403(B) MATCHING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	412
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	373
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	128
Total of all active and inactive participants	2012-01-01	501
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	501
Number of participants with account balances	2012-01-01	360
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: CEDAR VILLAGE 403(B) MATCHING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	336
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	371
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	41
Total of all active and inactive participants	2011-01-01	412
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	412
Number of participants with account balances	2011-01-01	246
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: CEDAR VILLAGE 403(B) MATCHING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	335
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	331
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	5
Total of all active and inactive participants	2010-01-01	336
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	336
Number of participants with account balances	2010-01-01	132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: CEDAR VILLAGE 403(B) MATCHING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	322
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	315
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	20
Total of all active and inactive participants	2009-01-01	335
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	335
Number of participants with account balances	2009-01-01	105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on CEDAR VILLAGE 403(B) MATCHING PLAN

Measure	Date	Value
2019 : CEDAR VILLAGE 403(B) MATCHING PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-03-08	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-03-08	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-03-08	$0
Total income from all sources (including contributions)	2019-03-08	$16,411
Total loss/gain on sale of assets	2019-03-08	$0
Total of all expenses incurred	2019-03-08	$779,462
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-03-08	$761,333
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-03-08	$0
Value of total assets at end of year	2019-03-08	$0
Value of total assets at beginning of year	2019-03-08	$763,051
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-03-08	$18,129
Total interest from all sources	2019-03-08	$100
Total dividends received (eg from common stock, registered investment company shares)	2019-03-08	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-03-08	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2019-03-08	$0
Was this plan covered by a fidelity bond	2019-03-08	Yes
Value of fidelity bond cover	2019-03-08	$500,000
If this is an individual account plan, was there a blackout period	2019-03-08	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-03-08	$0
Were there any nonexempt tranactions with any party-in-interest	2019-03-08	No
Participant contributions at end of year	2019-03-08	$0
Participant contributions at beginning of year	2019-03-08	$16,020
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-03-08	No
Value of net income/loss	2019-03-08	$-763,051
Value of net assets at end of year (total assets less liabilities)	2019-03-08	$0
Value of net assets at beginning of year (total assets less liabilities)	2019-03-08	$763,051
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-03-08	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-03-08	No
Were any leases to which the plan was party in default or uncollectible	2019-03-08	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-03-08	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-03-08	$709,107
Interest on participant loans	2019-03-08	$100
Value of interest in common/collective trusts at end of year	2019-03-08	$0
Value of interest in common/collective trusts at beginning of year	2019-03-08	$37,924
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-03-08	$16,279
Net investment gain or loss from common/collective trusts	2019-03-08	$32
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-03-08	No
Was there a failure to transmit to the plan any participant contributions	2019-03-08	No
Has the plan failed to provide any benefit when due under the plan	2019-03-08	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-03-08	$761,333
Contract administrator fees	2019-03-08	$18,129
Did the plan have assets held for investment	2019-03-08	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	2019-03-08	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-03-08	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-03-08	Yes
Opinion of an independent qualified public accountant for this plan	2019-03-08	Disclaimer
Accountancy firm name	2019-03-08	PLANTE MORAN
Accountancy firm EIN	2019-03-08	381357951
2018 : CEDAR VILLAGE 403(B) MATCHING PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$2,125
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$3,631,021
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$3,565,191
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$158,504
Value of total assets at end of year	2018-12-31	$763,051
Value of total assets at beginning of year	2018-12-31	$4,391,947
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$65,830
Total interest from all sources	2018-12-31	$2,720
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2018-12-31	$0
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
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	$157,673
Participant contributions at end of year	2018-12-31	$16,020
Participant contributions at beginning of year	2018-12-31	$116,049
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	$-3,628,896
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$763,051
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$4,391,947
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$709,107
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$4,111,031
Interest on participant loans	2018-12-31	$2,720
Value of interest in common/collective trusts at end of year	2018-12-31	$37,924
Value of interest in common/collective trusts at beginning of year	2018-12-31	$164,867
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-162,092
Net investment gain or loss from common/collective trusts	2018-12-31	$2,993
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	$831
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$3,565,191
Contract administrator fees	2018-12-31	$65,830
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
2017 : CEDAR VILLAGE 403(B) MATCHING PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$1,294,533
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$1,689,649
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$1,628,622
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$532,522
Value of total assets at end of year	2017-12-31	$4,391,947
Value of total assets at beginning of year	2017-12-31	$4,787,063
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$61,027
Total interest from all sources	2017-12-31	$5,820
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
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	$456,380
Participant contributions at end of year	2017-12-31	$116,049
Participant contributions at beginning of year	2017-12-31	$145,635
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	$-395,116
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$4,391,947
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$4,787,063
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	$4,111,031
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$4,262,636
Interest on participant loans	2017-12-31	$4,695
Interest earned on other investments	2017-12-31	$1,125
Value of interest in common/collective trusts at end of year	2017-12-31	$164,867
Value of interest in common/collective trusts at beginning of year	2017-12-31	$143,117
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$235,675
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$753,006
Net investment gain or loss from common/collective trusts	2017-12-31	$3,185
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	$76,142
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$1,628,622
Contract administrator fees	2017-12-31	$61,027
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
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	PLANTE MORAN
Accountancy firm EIN	2017-12-31	381357951
2016 : CEDAR VILLAGE 403(B) MATCHING PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$1,083,834
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$800,405
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$748,964
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$756,657
Value of total assets at end of year	2016-12-31	$4,787,063
Value of total assets at beginning of year	2016-12-31	$4,503,634
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$51,441
Total interest from all sources	2016-12-31	$11,943
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
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	$517,038
Participant contributions at end of year	2016-12-31	$145,635
Participant contributions at beginning of year	2016-12-31	$139,304
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$8,572
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	$283,429
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$4,787,063
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$4,503,634
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	$4,262,636
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$3,890,962
Interest on participant loans	2016-12-31	$4,523
Interest earned on other investments	2016-12-31	$7,420
Value of interest in common/collective trusts at end of year	2016-12-31	$143,117
Value of interest in common/collective trusts at beginning of year	2016-12-31	$199,612
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$235,675
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$268,429
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$312,077
Net investment gain or loss from common/collective trusts	2016-12-31	$3,157
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	$231,047
Employer contributions (assets) at beginning of year	2016-12-31	$5,327
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$748,964
Contract administrator fees	2016-12-31	$51,441
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
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	PLANTE MORAN
Accountancy firm EIN	2016-12-31	381357951
2015 : CEDAR VILLAGE 403(B) MATCHING PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$1,399
Total income from all sources (including contributions)	2015-12-31	$763,698
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$600,784
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$553,587
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$764,992
Value of total assets at end of year	2015-12-31	$4,503,634
Value of total assets at beginning of year	2015-12-31	$4,342,119
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$47,197
Total interest from all sources	2015-12-31	$13,096
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
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	$0
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
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	$508,697
Participant contributions at end of year	2015-12-31	$139,304
Participant contributions at beginning of year	2015-12-31	$166,179
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$28,767
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$1,399
Other income not declared elsewhere	2015-12-31	$0
Total non interest bearing cash at beginning of year	2015-12-31	$17,940
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	$162,914
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$4,503,634
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$4,340,720
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	$3,890,962
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$3,723,506
Interest on participant loans	2015-12-31	$4,714
Interest earned on other investments	2015-12-31	$8,382
Value of interest in common/collective trusts at end of year	2015-12-31	$199,612
Value of interest in common/collective trusts at beginning of year	2015-12-31	$158,202
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$268,429
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$276,292
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-18,242
Net investment gain or loss from common/collective trusts	2015-12-31	$3,852
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	$227,528
Employer contributions (assets) at end of year	2015-12-31	$5,327
Employer contributions (assets) at beginning of year	2015-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$553,587
Contract administrator fees	2015-12-31	$47,197
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
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	PLANTE MORAN
Accountancy firm EIN	2015-12-31	381357951
2014 : CEDAR VILLAGE 403(B) MATCHING PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$1,399
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	$952,300
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$301,435
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$258,953
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$697,460
Value of total assets at end of year	2014-12-31	$4,342,119
Value of total assets at beginning of year	2014-12-31	$3,689,855
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$42,482
Total interest from all sources	2014-12-31	$11,530
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
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	$404,550
Participant contributions at end of year	2014-12-31	$166,179
Participant contributions at beginning of year	2014-12-31	$111,423
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$29
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$104,340
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$1,399
Total non interest bearing cash at end of year	2014-12-31	$17,940
Total non interest bearing cash at beginning of year	2014-12-31	$16,350
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	$650,865
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$4,340,720
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$3,689,855
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	$3,723,506
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$3,127,352
Interest on participant loans	2014-12-31	$2,947
Interest earned on other investments	2014-12-31	$8,583
Value of interest in common/collective trusts at end of year	2014-12-31	$158,202
Value of interest in common/collective trusts at beginning of year	2014-12-31	$132,382
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$276,292
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$301,085
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$240,066
Net investment gain or loss from common/collective trusts	2014-12-31	$3,244
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	$188,570
Employer contributions (assets) at end of year	2014-12-31	$0
Employer contributions (assets) at beginning of year	2014-12-31	$1,234
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$258,953
Contract administrator fees	2014-12-31	$42,482
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
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	PLANTE MORAN
Accountancy firm EIN	2014-12-31	381357951
2013 : CEDAR VILLAGE 403(B) MATCHING PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets to this plan	2013-12-31	$126,023
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	$1,082
Total income from all sources (including contributions)	2013-12-31	$1,039,850
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$486,258
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$453,524
Value of total corrective distributions	2013-12-31	$1,081
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$533,918
Value of total assets at end of year	2013-12-31	$3,689,855
Value of total assets at beginning of year	2013-12-31	$3,011,322
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$31,653
Total interest from all sources	2013-12-31	$14,463
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
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	$361,540
Participant contributions at end of year	2013-12-31	$111,423
Participant contributions at beginning of year	2013-12-31	$110,248
Participant contributions at end of year	2013-12-31	$29
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$1,082
Total non interest bearing cash at end of year	2013-12-31	$16,350
Total non interest bearing cash at beginning of year	2013-12-31	$1,082
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	$553,592
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$3,689,855
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,010,240
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	$3,127,352
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$2,394,502
Interest on participant loans	2013-12-31	$3,504
Interest earned on other investments	2013-12-31	$11,109
Value of interest in common/collective trusts at end of year	2013-12-31	$132,382
Value of interest in common/collective trusts at beginning of year	2013-12-31	$119,217
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$-150
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$301,085
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$386,273
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$488,543
Net investment gain or loss from common/collective trusts	2013-12-31	$2,926
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	$172,378
Employer contributions (assets) at end of year	2013-12-31	$1,234
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$453,524
Contract administrator fees	2013-12-31	$31,653
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
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	PLANTE MORAN/DEVIN DEMPSEY
Accountancy firm EIN	2013-12-31	381357951
2012 : CEDAR VILLAGE 403(B) MATCHING PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$1,082
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$738
Total income from all sources (including contributions)	2012-12-31	$723,783
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$310,599
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$287,688
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$468,244
Value of total assets at end of year	2012-12-31	$3,011,322
Value of total assets at beginning of year	2012-12-31	$2,597,794
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$22,911
Total interest from all sources	2012-12-31	$2,191
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$35,296
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	$35,296
Administrative expenses professional fees incurred	2012-12-31	$22,911
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
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	$318,928
Participant contributions at end of year	2012-12-31	$110,248
Participant contributions at beginning of year	2012-12-31	$45,207
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$1,082
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$738
Other income not declared elsewhere	2012-12-31	$12,419
Total non interest bearing cash at end of year	2012-12-31	$1,082
Total non interest bearing cash at beginning of year	2012-12-31	$122
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	$413,184
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,010,240
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,597,056
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	$2,394,502
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,989,664
Interest on participant loans	2012-12-31	$2,191
Value of interest in common/collective trusts at end of year	2012-12-31	$119,217
Value of interest in common/collective trusts at beginning of year	2012-12-31	$101,491
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$386,273
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$459,763
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$202,222
Net investment gain or loss from common/collective trusts	2012-12-31	$3,411
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	$149,316
Employer contributions (assets) at end of year	2012-12-31	$0
Employer contributions (assets) at beginning of year	2012-12-31	$1,547
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$287,688
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	PLANTE & MORAN, PLC
Accountancy firm EIN	2012-12-31	381357951
2011 : CEDAR VILLAGE 403(B) MATCHING PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$738
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$375
Total income from all sources (including contributions)	2011-12-31	$476,206
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$253,992
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$236,973
Value of total corrective distributions	2011-12-31	$3,763
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$485,594
Value of total assets at end of year	2011-12-31	$2,597,794
Value of total assets at beginning of year	2011-12-31	$2,375,217
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$13,256
Total interest from all sources	2011-12-31	$739
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$22,947
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$22,947
Administrative expenses professional fees incurred	2011-12-31	$13,256
Was this plan covered by a fidelity bond	2011-12-31	No
If this is an individual account plan, was there a blackout period	2011-12-31	No
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	$335,893
Participant contributions at end of year	2011-12-31	$45,207
Participant contributions at beginning of year	2011-12-31	$1,858
Participant contributions at beginning of year	2011-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$5,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$738
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$375
Total non interest bearing cash at end of year	2011-12-31	$122
Total non interest bearing cash at beginning of year	2011-12-31	$48
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	$222,214
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,597,056
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,374,842
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	$1,989,664
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,860,044
Interest on participant loans	2011-12-31	$739
Value of interest in common/collective trusts at end of year	2011-12-31	$101,491
Value of interest in common/collective trusts at beginning of year	2011-12-31	$52,803
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$459,763
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$460,464
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-35,550
Net investment gain or loss from common/collective trusts	2011-12-31	$2,476
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	$144,201
Employer contributions (assets) at end of year	2011-12-31	$1,547
Employer contributions (assets) at beginning of year	2011-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$236,973
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	PLANTE & MORAN, PLLC
Accountancy firm EIN	2011-12-31	381357951
2010 : CEDAR VILLAGE 403(B) MATCHING PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets to this plan	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$375
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	$605,306
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$96,897
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$91,086
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$391,613
Value of total assets at end of year	2010-12-31	$2,375,217
Value of total assets at beginning of year	2010-12-31	$1,866,433
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$5,811
Total interest from all sources	2010-12-31	$42
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$6,197
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$6,197
Administrative expenses professional fees incurred	2010-12-31	$5,811
Was this plan covered by a fidelity bond	2010-12-31	No
If this is an individual account plan, was there a blackout period	2010-12-31	No
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	$263,119
Participant contributions at end of year	2010-12-31	$1,858
Participant contributions at beginning of year	2010-12-31	$0
Participant contributions at end of year	2010-12-31	$0
Participant contributions at beginning of year	2010-12-31	$14,383
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$375
Total non interest bearing cash at end of year	2010-12-31	$48
Total non interest bearing cash at beginning of year	2010-12-31	$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	2010-12-31	No
Value of net income/loss	2010-12-31	$508,409
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,374,842
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,866,433
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	$1,860,044
Interest on participant loans	2010-12-31	$42
Value of interest in common/collective trusts at end of year	2010-12-31	$52,803
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$1,846,632
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$1,846,632
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$460,464
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$206,407
Net investment gain or loss from common/collective trusts	2010-12-31	$1,047
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
Contributions received in cash from employer	2010-12-31	$128,494
Employer contributions (assets) at end of year	2010-12-31	$0
Employer contributions (assets) at beginning of year	2010-12-31	$5,418
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$91,086
Did the plan have assets held for investment	2010-12-31	No
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	PLANTE & MORAN, PLLC
Accountancy firm EIN	2010-12-31	381357951

Form 5500 Responses for CEDAR VILLAGE 403(B) MATCHING PLAN

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

Insurance Providers Used on plan

GREAT AMERICAN FINANCIAL (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

Policy instance

Insurance contract or identification number	0
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
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?	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT AMERICAN FINANCIAL (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

Policy instance

Insurance contract or identification number	0
Number of Individuals Covered	61
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
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?	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT AMERICAN FINANCIAL (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

Policy instance

Insurance contract or identification number	0
Number of Individuals Covered	66
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
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?	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT AMERICAN FINANCIAL (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

Policy instance

Insurance contract or identification number	0
Number of Individuals Covered	76
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
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?	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT AMERICAN FINANCIAL (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

00000

Policy instance

Insurance contract or identification number	00000
Number of Individuals Covered	40
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
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?	No
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

GREAT AMERICAN FINANCIAL (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

00000

Policy instance

Insurance contract or identification number	00000
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
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?	No
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

GREAT AMERICAN FINANCIAL (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

00000

Policy instance

Insurance contract or identification number	00000
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
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?	No
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:	JEWISH HOME OF CINCINNATI, INC.
Employer identification number (EIN):	311345871
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	1992-01-10
Company Identification Number:	810338
Legal Registered Office Address:	9277 CENTRE POINTE DRIVE - #100 - WEST CHESTER United States of America (USA) 45069