401k Plan data: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN plan

CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 401k Plan overview

Plan Name	CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN
Plan identification number	001

CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT 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)(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

CLARK RETIREMENT COMMUNITY, INC. has sponsored the creation of one or more 401k plans.

Company Name: CLARK RETIREMENT COMMUNITY, INC.

Employer identification number (EIN): 381366932

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 BETH THRESS 2024-01-11
001 2023-01-01 BETH THRESS 2024-01-11
001 2022-01-01 BETH THRESS 2023-09-06
001 2021-01-01 ROGER WEIDEMA 2022-10-12
001 2020-01-01 BRIAN L BRINK 2021-09-29
001 2019-01-01 KELLY TIMMER 2020-10-05
001 2018-01-01 CRAIG R COURTS 2019-08-29
001 2017-01-01
001 2016-01-01 DEAN MACVICAR
001 2015-12-01 DEAN MACVICAR

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2023-01-01	BETH THRESS	2024-01-11
001	2023-01-01	BETH THRESS	2024-01-11
001	2022-01-01	BETH THRESS	2023-09-06
001	2021-01-01	ROGER WEIDEMA	2022-10-12
001	2020-01-01	BRIAN L BRINK	2021-09-29
001	2019-01-01	KELLY TIMMER	2020-10-05
001	2018-01-01	CRAIG R COURTS	2019-08-29
001	2017-01-01
001	2016-01-01	DEAN MACVICAR
001	2015-12-01	DEAN MACVICAR

Plan Statistics for CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN

401k plan membership statisitcs for CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN

Measure Date Value
2023: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 301
Total participants, beginning-of-year 2023-01-01 301
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 0
Number of retired or separated participants receiving benefits 2023-01-01 0
Number of retired or separated participants receiving benefits 2023-01-01 0
Number of other retired or separated participants entitled to future benefits 2023-01-01 0
Number of other retired or separated participants entitled to future benefits 2023-01-01 0
Total of all active and inactive participants 2023-01-01 0
Total of all active and inactive participants 2023-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2023-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2023-01-01 0
Total participants 2023-01-01 0
Total participants 2023-01-01 0
Number of participants with account balances 2023-01-01 0
Number of participants with account balances 2023-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2023-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2023-01-01 0
2022: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 247
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 246
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 56
Total of all active and inactive participants 2022-01-01 302
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 302
Number of participants with account balances 2022-01-01 116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 343
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 349
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 43
Total of all active and inactive participants 2021-01-01 392
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 392
Number of participants with account balances 2021-01-01 126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 265
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 289
Number of retired or separated participants receiving benefits 2020-01-01 1
Number of other retired or separated participants entitled to future benefits 2020-01-01 49
Total of all active and inactive participants 2020-01-01 339
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 1
Total participants 2020-01-01 340
Number of participants with account balances 2020-01-01 135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 264
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 204
Number of retired or separated participants receiving benefits 2019-01-01 2
Number of other retired or separated participants entitled to future benefits 2019-01-01 55
Total of all active and inactive participants 2019-01-01 261
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 261
Number of participants with account balances 2019-01-01 144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 286
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 212
Number of retired or separated participants receiving benefits 2018-01-01 3
Number of other retired or separated participants entitled to future benefits 2018-01-01 46
Total of all active and inactive participants 2018-01-01 261
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 261
Number of participants with account balances 2018-01-01 144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 413
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 223
Number of retired or separated participants receiving benefits 2017-01-01 3
Number of other retired or separated participants entitled to future benefits 2017-01-01 58
Total of all active and inactive participants 2017-01-01 284
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 284
Number of participants with account balances 2017-01-01 153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 457
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 324
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 55
Total of all active and inactive participants 2016-01-01 379
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 379
Number of participants with account balances 2016-01-01 187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-12-01 450
Total number of active participants reported on line 7a of the Form 5500 2015-12-01 443
Number of retired or separated participants receiving benefits 2015-12-01 0
Number of other retired or separated participants entitled to future benefits 2015-12-01 9
Total of all active and inactive participants 2015-12-01 452
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-12-01 0
Total participants 2015-12-01 452
Number of participants with account balances 2015-12-01 205
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-12-01 0

Measure	Date	Value
2023: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	301
Total participants, beginning-of-year	2023-01-01	301
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	0
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	0
Total of all active and inactive participants	2023-01-01	0
Total of all active and inactive participants	2023-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2023-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2023-01-01	0
Total participants	2023-01-01	0
Total participants	2023-01-01	0
Number of participants with account balances	2023-01-01	0
Number of participants with account balances	2023-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2023-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2023-01-01	0
2022: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	247
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	246
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	56
Total of all active and inactive participants	2022-01-01	302
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	302
Number of participants with account balances	2022-01-01	116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	343
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	349
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	43
Total of all active and inactive participants	2021-01-01	392
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	392
Number of participants with account balances	2021-01-01	126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	265
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	289
Number of retired or separated participants receiving benefits	2020-01-01	1
Number of other retired or separated participants entitled to future benefits	2020-01-01	49
Total of all active and inactive participants	2020-01-01	339
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	1
Total participants	2020-01-01	340
Number of participants with account balances	2020-01-01	135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	264
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	204
Number of retired or separated participants receiving benefits	2019-01-01	2
Number of other retired or separated participants entitled to future benefits	2019-01-01	55
Total of all active and inactive participants	2019-01-01	261
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	261
Number of participants with account balances	2019-01-01	144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	286
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	212
Number of retired or separated participants receiving benefits	2018-01-01	3
Number of other retired or separated participants entitled to future benefits	2018-01-01	46
Total of all active and inactive participants	2018-01-01	261
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	261
Number of participants with account balances	2018-01-01	144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	413
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	223
Number of retired or separated participants receiving benefits	2017-01-01	3
Number of other retired or separated participants entitled to future benefits	2017-01-01	58
Total of all active and inactive participants	2017-01-01	284
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	284
Number of participants with account balances	2017-01-01	153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	457
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	324
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	55
Total of all active and inactive participants	2016-01-01	379
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	379
Number of participants with account balances	2016-01-01	187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-12-01	450
Total number of active participants reported on line 7a of the Form 5500	2015-12-01	443
Number of retired or separated participants receiving benefits	2015-12-01	0
Number of other retired or separated participants entitled to future benefits	2015-12-01	9
Total of all active and inactive participants	2015-12-01	452
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-12-01	0
Total participants	2015-12-01	452
Number of participants with account balances	2015-12-01	205
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-12-01	0

Financial Data on CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN

Measure	Date	Value
2023 : CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets	2023-10-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-10-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2023-10-31	$0
Total income from all sources (including contributions)	2023-10-31	$315,508
Total loss/gain on sale of assets	2023-10-31	$0
Total of all expenses incurred	2023-10-31	$5,267,199
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2023-10-31	$5,242,072
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2023-10-31	$0
Value of total assets at end of year	2023-10-31	$0
Value of total assets at beginning of year	2023-10-31	$4,951,691
Total of administrative expenses incurred including professional, contract, advisory and management fees	2023-10-31	$25,127
Total interest from all sources	2023-10-31	$103
Total dividends received (eg from common stock, registered investment company shares)	2023-10-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2023-10-31	No
Was this plan covered by a fidelity bond	2023-10-31	Yes
Value of fidelity bond cover	2023-10-31	$560,000
If this is an individual account plan, was there a blackout period	2023-10-31	No
Were there any nonexempt tranactions with any party-in-interest	2023-10-31	No
Participant contributions at end of year	2023-10-31	$0
Participant contributions at beginning of year	2023-10-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2023-10-31	$96,578
Value of other receiveables (less allowance for doubtful accounts) at end of year	2023-10-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2023-10-31	$1,119
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2023-10-31	No
Value of net income/loss	2023-10-31	$-4,951,691
Value of net assets at end of year (total assets less liabilities)	2023-10-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2023-10-31	$4,951,691
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2023-10-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2023-10-31	No
Were any leases to which the plan was party in default or uncollectible	2023-10-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2023-10-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2023-10-31	$4,944,968
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2023-10-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2023-10-31	$5,604
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2023-10-31	$5,604
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2023-10-31	$103
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2023-10-31	$315,405
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2023-10-31	No
Was there a failure to transmit to the plan any participant contributions	2023-10-31	No
Has the plan failed to provide any benefit when due under the plan	2023-10-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2023-10-31	$5,145,494
Contract administrator fees	2023-10-31	$25,127
Did the plan have assets held for investment	2023-10-31	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	2023-10-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2023-10-31	Yes
Opinion of an independent qualified public accountant for this plan	2023-10-31	Unqualified
Accountancy firm name	2023-10-31	HUNGERFORD NICHOLS
Accountancy firm EIN	2023-10-31	382184825
2022 : CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-791,472
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$762,541
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$730,502
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$286,460
Value of total assets at end of year	2022-12-31	$4,951,691
Value of total assets at beginning of year	2022-12-31	$6,505,704
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$32,039
Total interest from all sources	2022-12-31	$137
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Administrative expenses professional fees incurred	2022-12-31	$32,039
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$560,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$223,001
Participant contributions at end of year	2022-12-31	$0
Participant contributions at beginning of year	2022-12-31	$4,115
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$1,119
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$1,160
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-1,554,013
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$4,951,691
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$6,505,704
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$4,944,968
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$6,498,456
Interest on participant loans	2022-12-31	$56
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$5,604
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$81
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-1,078,069
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$63,459
Employer contributions (assets) at beginning of year	2022-12-31	$1,973
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$730,502
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	HUNGERFORD NICHOLS
Accountancy firm EIN	2022-12-31	382184825
2021 : CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$1,174,552
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$804,333
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$768,937
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$339,478
Value of total assets at end of year	2021-12-31	$6,505,704
Value of total assets at beginning of year	2021-12-31	$6,135,485
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$35,396
Total interest from all sources	2021-12-31	$432
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Administrative expenses professional fees incurred	2021-12-31	$35,396
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$560,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$257,146
Participant contributions at end of year	2021-12-31	$4,115
Participant contributions at beginning of year	2021-12-31	$10,191
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$9,691
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$1,160
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$1,175
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$370,219
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$6,505,704
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$6,135,485
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$6,498,456
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$6,124,119
Interest on participant loans	2021-12-31	$430
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$2
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$834,642
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$72,641
Employer contributions (assets) at end of year	2021-12-31	$1,973
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$768,937
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	HUNGERFORD NICHOLS
Accountancy firm EIN	2021-12-31	382184825
2020 : CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$1,251,302
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$589,730
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$559,530
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$396,573
Value of total assets at end of year	2020-12-31	$6,135,485
Value of total assets at beginning of year	2020-12-31	$5,473,913
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$30,200
Total interest from all sources	2020-12-31	$1,130
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Administrative expenses professional fees incurred	2020-12-31	$30,200
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$560,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$309,391
Participant contributions at end of year	2020-12-31	$10,191
Participant contributions at beginning of year	2020-12-31	$24,504
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$6,400
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$1,175
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$1,552
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$661,572
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$6,135,485
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$5,473,913
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$6,124,119
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$5,447,857
Interest on participant loans	2020-12-31	$967
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$163
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$853,599
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$80,782
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$559,530
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	HUNGERFORD NICHOLS
Accountancy firm EIN	2020-12-31	382184825
2019 : CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$1,467,387
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$374,063
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$335,317
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$473,778
Value of total assets at end of year	2019-12-31	$5,473,913
Value of total assets at beginning of year	2019-12-31	$4,380,589
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$38,746
Total interest from all sources	2019-12-31	$1,683
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$178,157
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$178,157
Administrative expenses professional fees incurred	2019-12-31	$8,700
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$560,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$337,329
Participant contributions at end of year	2019-12-31	$24,504
Participant contributions at beginning of year	2019-12-31	$33,928
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$52,058
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$1,552
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$1,616
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$1,093,324
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$5,473,913
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$4,380,589
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$5,447,857
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$4,318,085
Interest on participant loans	2019-12-31	$1,683
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$26,960
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$26,960
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$813,769
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$84,391
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$335,317
Contract administrator fees	2019-12-31	$30,046
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	HUNGERFORD NICHOLS
Accountancy firm EIN	2019-12-31	382184825
2018 : CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total transfer of assets to this plan	2018-12-31	$2,158
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	$158,413
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$882,361
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$843,831
Value of total corrective distributions	2018-12-31	$31
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$410,280
Value of total assets at end of year	2018-12-31	$4,380,589
Value of total assets at beginning of year	2018-12-31	$5,102,379
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$38,499
Total interest from all sources	2018-12-31	$2,891
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$173,927
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$173,927
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$560,000
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	$319,834
Participant contributions at end of year	2018-12-31	$33,928
Participant contributions at beginning of year	2018-12-31	$62,136
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$27,249
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$1,616
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$1,232
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	$-723,948
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$4,380,589
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$5,102,379
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	$4,318,085
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$5,024,982
Interest on participant loans	2018-12-31	$2,508
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$26,960
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$14,029
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$14,029
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$383
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-428,685
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	$63,197
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$843,831
Contract administrator fees	2018-12-31	$38,499
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	HUNGERFORD NICHOLS
Accountancy firm EIN	2018-12-31	382184825
2017 : CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT 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	$1,306,350
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$1,636,564
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$1,592,985
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$446,528
Value of total assets at end of year	2017-12-31	$5,102,379
Value of total assets at beginning of year	2017-12-31	$5,432,593
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$43,579
Total interest from all sources	2017-12-31	$2,587
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	$353,189
Participant contributions at end of year	2017-12-31	$62,136
Participant contributions at beginning of year	2017-12-31	$53,324
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$1,795
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$1,232
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$1,625
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	$-330,214
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$5,102,379
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$5,432,593
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	$5,024,982
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$5,368,252
Interest on participant loans	2017-12-31	$2,470
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$14,029
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$9,392
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$9,392
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$117
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$857,235
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	$91,544
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$1,592,985
Contract administrator fees	2017-12-31	$43,579
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	HUNGERFORD NICHOLS
Accountancy firm EIN	2017-12-31	382184825
2016 : CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT 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	$1,241,562
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$2,047,402
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$2,017,292
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$872,284
Value of total assets at end of year	2016-12-31	$5,432,593
Value of total assets at beginning of year	2016-12-31	$6,238,433
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$30,110
Total interest from all sources	2016-12-31	$1,818
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	$532,353
Participant contributions at end of year	2016-12-31	$53,324
Participant contributions at beginning of year	2016-12-31	$54,159
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$29,583
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$1,625
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$1,217
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	$-805,840
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$5,432,593
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$6,238,433
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	$5,368,252
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$6,178,846
Interest on participant loans	2016-12-31	$1,757
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$9,392
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$4,211
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$4,211
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$61
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$367,460
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	$310,348
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$2,017,292
Contract administrator fees	2016-12-31	$30,110
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	HUNGERFORD NICHOLS
Accountancy firm EIN	2016-12-31	382184825
2015 : CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total transfer of assets to this plan	2015-12-31	$6,064,049
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	$0
Total income from all sources (including contributions)	2015-12-31	$174,384
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$110,608
Value of total assets at end of year	2015-12-31	$6,238,433
Value of total assets at beginning of year	2015-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$0
Total interest from all sources	2015-12-31	$2,129
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
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	Yes
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	$70,953
Participant contributions at end of year	2015-12-31	$54,159
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$1,217
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	$174,384
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$6,238,433
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$0
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	$6,178,846
Interest on participant loans	2015-12-31	$2,129
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$4,211
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$61,647
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	$39,655
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	2015-12-31	Yes
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

Form 5500 Responses for CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN

2023: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	No
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	Yes
2023-01-01	This submission is the final filing	Yes
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Trust	Yes
2023-01-01	Plan funding arrangement – Trust	Yes
2023-01-01	Plan benefit arrangement - Trust	Yes
2023-01-01	Plan benefit arrangement - Trust	Yes
2022: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT 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: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT 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 – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT 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 – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: CLARK RETIREMENT COMMUNITY 403(B) SAVINGS & RETIREMENT PLAN 2015 form 5500 responses
2015-12-01	Type of plan entity	Single employer plan
2015-12-01	First time form 5500 has been submitted	Yes
2015-12-01	Submission has been amended	No
2015-12-01	This submission is the final filing	No
2015-12-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-12-01	Plan is a collectively bargained plan	No
2015-12-01	Plan funding arrangement – Trust	Yes
2015-12-01	Plan benefit arrangement - Trust	Yes

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Company Name:	CLARK RETIREMENT COMMUNITY, INC.
Employer identification number (EIN):	381366932
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities