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SWANTON HEALTH CARE & RETIREMENT CENTER 401(K) PLAN 401k Plan overview

Plan NameSWANTON HEALTH CARE & RETIREMENT CENTER 401(K) PLAN
Plan identification number 001

SWANTON HEALTH CARE & RETIREMENT CENTER 401(K) PLAN Benefits

401k Plan TypeDefined 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.
  • 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.
  • Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

SWANTON HEALTH CARE & RETIREMENT, INC. has sponsored the creation of one or more 401k plans.

Company Name:SWANTON HEALTH CARE & RETIREMENT, INC.
Employer identification number (EIN):341964887
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SWANTON HEALTH CARE & RETIREMENT CENTER 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01LISA J. MITCHELL2023-05-08 LISA J. MITCHELL2023-05-08
0012021-01-01LISA J. MITCHELL2022-05-17 LISA J. MITCHELL2022-05-17
0012020-01-01LISA J. MITCHELL2021-10-06 LISA J. MITCHELL2021-10-06
0012019-01-01LISA J. MITCHELL2020-08-03 LISA J. MITCHELL2020-08-03
0012018-01-01LISA J. MITCHELL2019-07-08 LISA J. MITCHELL2019-07-08
0012017-01-01LISA J. MITCHELL2018-10-12 LISA J. MITCHELL2018-10-12
0012016-01-01LISA J. MITCHELL2017-10-09 LISA J. MITCHELL2017-10-09
0012015-01-01LISA MITCHELL2016-10-12
0012014-01-01LISA MITCHELL2015-10-13 LISA MITCHELL2015-10-13
0012013-01-01LISA MITCHELL
0012012-01-01LISA MITCHELL
0012011-01-01BECKY ZIVISKI
0012010-01-01BECKY ZIVISKI2011-08-04
0012009-01-01BECKY ZIVISKI

Plan Statistics for SWANTON HEALTH CARE & RETIREMENT CENTER 401(K) PLAN

401k plan membership statisitcs for SWANTON HEALTH CARE & RETIREMENT CENTER 401(K) PLAN

Measure Date Value
2013: SWANTON HEALTH CARE & RETIREMENT CENTER 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0171
Total number of active participants reported on line 7a of the Form 55002013-01-0144
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0119
Total of all active and inactive participants2013-01-0163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0163
Number of participants with account balances2013-01-0136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: SWANTON HEALTH CARE & RETIREMENT CENTER 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0139
Total number of active participants reported on line 7a of the Form 55002012-01-0154
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0117
Total of all active and inactive participants2012-01-0171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0171
Number of participants with account balances2012-01-0138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: SWANTON HEALTH CARE & RETIREMENT CENTER 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0198
Total number of active participants reported on line 7a of the Form 55002011-01-0132
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-017
Total of all active and inactive participants2011-01-0139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0139
Number of participants with account balances2011-01-0139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: SWANTON HEALTH CARE & RETIREMENT CENTER 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01106
Total number of active participants reported on line 7a of the Form 55002009-01-01106
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-019
Total of all active and inactive participants2009-01-01115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01115
Number of participants with account balances2009-01-0149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on SWANTON HEALTH CARE & RETIREMENT CENTER 401(K) PLAN

Measure Date Value
2013 : SWANTON HEALTH CARE & RETIREMENT CENTER 401(K) PLAN 2013 401k financial data
Total income from all sources2013-12-31$191,143
Expenses. Total of all expenses incurred2013-12-31$9,917
Benefits paid (including direct rollovers)2013-12-31$6,947
Total plan assets at end of year2013-12-31$1,101,420
Total plan assets at beginning of year2013-12-31$920,194
Value of fidelity bond covering the plan2013-12-31$250,000
Total contributions received or receivable from participants2013-12-31$69,614
Other income received2013-12-31$115,080
Net income (gross income less expenses)2013-12-31$181,226
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,101,420
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$920,194
Assets. Value of participant loans2013-12-31$11,173
Total contributions received or receivable from employer(s)2013-12-31$6,449
Value of certain deemed distributions of participant loans2013-12-31$2,970
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : SWANTON HEALTH CARE & RETIREMENT CENTER 401(K) PLAN 2012 401k financial data
Total income from all sources2012-12-31$174,873
Expenses. Total of all expenses incurred2012-12-31$276,355
Benefits paid (including direct rollovers)2012-12-31$273,272
Total plan assets at end of year2012-12-31$920,194
Total plan assets at beginning of year2012-12-31$1,021,676
Value of fidelity bond covering the plan2012-12-31$250,000
Total contributions received or receivable from participants2012-12-31$74,619
Other income received2012-12-31$92,593
Net income (gross income less expenses)2012-12-31$-101,482
Net plan assets at end of year (total assets less liabilities)2012-12-31$920,194
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,021,676
Assets. Value of participant loans2012-12-31$25,513
Total contributions received or receivable from employer(s)2012-12-31$7,661
Value of certain deemed distributions of participant loans2012-12-31$3,083
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : SWANTON HEALTH CARE & RETIREMENT CENTER 401(K) PLAN 2011 401k financial data
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$46,484
Expenses. Total of all expenses incurred2011-12-31$36,617
Benefits paid (including direct rollovers)2011-12-31$36,617
Total plan assets at end of year2011-12-31$1,021,676
Total plan assets at beginning of year2011-12-31$1,011,809
Value of fidelity bond covering the plan2011-12-31$87,000
Total contributions received or receivable from participants2011-12-31$68,720
Other income received2011-12-31$-29,473
Net income (gross income less expenses)2011-12-31$9,867
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,021,676
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,011,809
Assets. Value of participant loans2011-12-31$28,394
Total contributions received or receivable from employer(s)2011-12-31$7,237
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2009 : SWANTON HEALTH CARE & RETIREMENT CENTER 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for SWANTON HEALTH CARE & RETIREMENT CENTER 401(K) PLAN

2013: SWANTON HEALTH CARE & RETIREMENT CENTER 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: SWANTON HEALTH CARE & RETIREMENT CENTER 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: SWANTON HEALTH CARE & RETIREMENT CENTER 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: SWANTON HEALTH CARE & RETIREMENT CENTER 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B2-DL2J
Policy instance 1
Insurance contract or identification numberGAP-B2-DL2J
Number of Individuals Covered39
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $7,407
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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

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