401k Plan data: VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) PLAN plan

VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) PLAN 401k Plan overview

Plan Name	VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) PLAN
Plan identification number	001

VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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

VICTORIA NURSING & REHABILITATION CENTER has sponsored the creation of one or more 401k plans.

Company Name: VICTORIA NURSING & REHABILITATION CENTER

Employer identification number (EIN): 311558831

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 RICHARD STACEY
001 2012-01-01 RICHARD STACEY
001 2011-01-01 RICHARD STACEY
001 2010-01-01 RICHARD STACEY
001 2009-01-01 RICHARD STACEY RICHARD STACEY 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2013-01-01	RICHARD STACEY
001	2012-01-01	RICHARD STACEY
001	2011-01-01	RICHARD STACEY
001	2010-01-01	RICHARD STACEY
001	2009-01-01	RICHARD STACEY	RICHARD STACEY	2010-10-14

Plan Statistics for VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) PLAN

401k plan membership statisitcs for VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) PLAN

Measure Date Value
2013: VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 371
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 364
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 13
Total of all active and inactive participants 2013-01-01 377
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 377
Number of participants with account balances 2013-01-01 30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 472
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 357
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 14
Total of all active and inactive participants 2012-01-01 371
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 371
Number of participants with account balances 2012-01-01 28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 459
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 459
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 13
Total of all active and inactive participants 2011-01-01 472
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 472
Number of participants with account balances 2011-01-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 249
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 419
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 13
Total of all active and inactive participants 2010-01-01 432
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 432
Number of participants with account balances 2010-01-01 33
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 433
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 208
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 12
Total of all active and inactive participants 2009-01-01 220
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 220
Number of participants with account balances 2009-01-01 30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2013: VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	371
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	364
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	13
Total of all active and inactive participants	2013-01-01	377
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	377
Number of participants with account balances	2013-01-01	30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	472
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	357
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	14
Total of all active and inactive participants	2012-01-01	371
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	371
Number of participants with account balances	2012-01-01	28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	459
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	459
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	13
Total of all active and inactive participants	2011-01-01	472
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	472
Number of participants with account balances	2011-01-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	249
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	419
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	13
Total of all active and inactive participants	2010-01-01	432
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	432
Number of participants with account balances	2010-01-01	33
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	433
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	208
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	12
Total of all active and inactive participants	2009-01-01	220
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	220
Number of participants with account balances	2009-01-01	30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) PLAN

Measure	Date	Value
2014 : VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-04-30	$0
Total transfer of assets from this plan	2014-04-30	$595,113
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-04-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-04-30	$9,394
Total income from all sources (including contributions)	2014-04-30	$34,459
Total loss/gain on sale of assets	2014-04-30	$0
Total of all expenses incurred	2014-04-30	$525
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-04-30	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-04-30	$20,346
Value of total assets at end of year	2014-04-30	$0
Value of total assets at beginning of year	2014-04-30	$570,573
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-04-30	$525
Total interest from all sources	2014-04-30	$360
Total dividends received (eg from common stock, registered investment company shares)	2014-04-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-04-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2014-04-30	$0
Was this plan covered by a fidelity bond	2014-04-30	Yes
Value of fidelity bond cover	2014-04-30	$75,000
If this is an individual account plan, was there a blackout period	2014-04-30	No
Were there any nonexempt tranactions with any party-in-interest	2014-04-30	No
Contributions received from participants	2014-04-30	$20,346
Participant contributions at end of year	2014-04-30	$0
Participant contributions at beginning of year	2014-04-30	$26,294
Participant contributions at end of year	2014-04-30	$0
Participant contributions at beginning of year	2014-04-30	$2,453
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-04-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-04-30	$9,394
Administrative expenses (other) incurred	2014-04-30	$525
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-04-30	No
Value of net income/loss	2014-04-30	$33,934
Value of net assets at end of year (total assets less liabilities)	2014-04-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2014-04-30	$561,179
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-04-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-04-30	No
Were any leases to which the plan was party in default or uncollectible	2014-04-30	No
Value of interest in pooled separate accounts at end of year	2014-04-30	$0
Value of interest in pooled separate accounts at beginning of year	2014-04-30	$541,826
Interest on participant loans	2014-04-30	$360
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-04-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-04-30	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-04-30	$0
Net investment gain/loss from pooled separate accounts	2014-04-30	$13,753
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-04-30	No
Was there a failure to transmit to the plan any participant contributions	2014-04-30	No
Has the plan failed to provide any benefit when due under the plan	2014-04-30	No
Did the plan have assets held for investment	2014-04-30	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	2014-04-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-04-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-04-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-04-30	Disclaimer
Accountancy firm name	2014-04-30	MALLAH FURMAN
Accountancy firm EIN	2014-04-30	591765543
2013 : VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) 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	$9,394
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$9,570
Total income from all sources (including contributions)	2013-12-31	$128,066
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$66,950
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$56,242
Value of total corrective distributions	2013-12-31	$10,188
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$63,282
Value of total assets at end of year	2013-12-31	$570,573
Value of total assets at beginning of year	2013-12-31	$509,633
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$520
Total interest from all sources	2013-12-31	$1,410
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	$75,000
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	$63,282
Participant contributions at end of year	2013-12-31	$26,294
Participant contributions at beginning of year	2013-12-31	$35,505
Participant contributions at end of year	2013-12-31	$2,453
Participant contributions at beginning of year	2013-12-31	$2,583
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$9,394
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$9,570
Administrative expenses (other) incurred	2013-12-31	$520
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	$61,116
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$561,179
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$500,063
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 pooled separate accounts at end of year	2013-12-31	$541,826
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$471,545
Interest on participant loans	2013-12-31	$1,410
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$0
Net investment gain/loss from pooled separate accounts	2013-12-31	$63,374
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	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$56,242
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	MALLAH FURMAN
Accountancy firm EIN	2013-12-31	591765543
2012 : VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) 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	$9,570
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$40,829
Total income from all sources (including contributions)	2012-12-31	$121,068
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$154,879
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$144,247
Value of total corrective distributions	2012-12-31	$10,112
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$49,719
Value of total assets at end of year	2012-12-31	$509,633
Value of total assets at beginning of year	2012-12-31	$574,703
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$520
Total interest from all sources	2012-12-31	$1,634
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$50,000
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	$49,719
Participant contributions at end of year	2012-12-31	$35,505
Participant contributions at beginning of year	2012-12-31	$44,493
Participant contributions at end of year	2012-12-31	$2,583
Participant contributions at beginning of year	2012-12-31	$1,872
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$9,570
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$40,829
Administrative expenses (other) incurred	2012-12-31	$520
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	$-33,811
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$500,063
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$533,874
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 pooled separate accounts at end of year	2012-12-31	$471,545
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$528,338
Interest on participant loans	2012-12-31	$1,634
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$0
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	$41,236
Net investment gain/loss from pooled separate accounts	2012-12-31	$28,479
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	Yes
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$144,247
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	MALLAH FURMAN
Accountancy firm EIN	2012-12-31	591765543
2011 : VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) 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	$40,829
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$30,182
Total income from all sources (including contributions)	2011-12-31	$105,966
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$122,705
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$80,901
Value of total corrective distributions	2011-12-31	$41,704
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$69,120
Value of total assets at end of year	2011-12-31	$574,703
Value of total assets at beginning of year	2011-12-31	$580,795
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$100
Total interest from all sources	2011-12-31	$755
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan 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	$75,000
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	$69,120
Participant contributions at end of year	2011-12-31	$44,493
Participant contributions at beginning of year	2011-12-31	$0
Participant contributions at end of year	2011-12-31	$1,872
Participant contributions at beginning of year	2011-12-31	$2,719
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$40,829
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$30,182
Administrative expenses (other) incurred	2011-12-31	$100
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	$-16,739
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$533,874
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$550,613
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 pooled separate accounts at end of year	2011-12-31	$528,338
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$578,076
Interest on participant loans	2011-12-31	$755
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	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$0
Net investment gain/loss from pooled separate accounts	2011-12-31	$36,091
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$80,901
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	MALLAH FURMAN
Accountancy firm EIN	2011-12-31	591765543
2010 : VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) 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	$30,182
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$34,742
Total income from all sources (including contributions)	2010-12-31	$116,455
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$32,383
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$3
Value of total corrective distributions	2010-12-31	$30,830
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$84,317
Value of total assets at end of year	2010-12-31	$580,795
Value of total assets at beginning of year	2010-12-31	$501,283
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$1,550
Total interest from all sources	2010-12-31	$415
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$50,000
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	$84,317
Participant contributions at end of year	2010-12-31	$0
Participant contributions at beginning of year	2010-12-31	$9,812
Participant contributions at end of year	2010-12-31	$2,719
Participant contributions at beginning of year	2010-12-31	$4,704
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$30,182
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$34,742
Other income not declared elsewhere	2010-12-31	$-25
Administrative expenses (other) incurred	2010-12-31	$1,550
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	$84,072
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$550,613
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$466,541
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 pooled separate accounts at end of year	2010-12-31	$578,076
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$486,742
Interest on participant loans	2010-12-31	$415
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	$25
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$25
Net investment gain/loss from pooled separate accounts	2010-12-31	$31,748
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	Yes
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	$3
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	No
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	MALLAH FURMAN
Accountancy firm EIN	2010-12-31	591765543
2009 : VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) 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 VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) PLAN

2013: VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) 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: VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) 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: VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) 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: VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) 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: VICTORIA NURSING & REHABILITATION CENTER, INC. 401(K) 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 funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	VICTORIA NURSING & REHABILITATION CENTER
Employer identification number (EIN):	311558831
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities