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LIFECARE, INC. DBA FRIENDSHIP VILLAGE 403(B) EMPLOYER RETIREMENT PLAN 401k Plan overview

Plan NameLIFECARE, INC. DBA FRIENDSHIP VILLAGE 403(B) EMPLOYER RETIREMENT PLAN
Plan identification number 001

LIFECARE, INC. DBA FRIENDSHIP VILLAGE 403(B) EMPLOYER RETIREMENT PLAN Benefits

401k Plan TypeDefined 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.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.

401k Sponsoring company profile

LIFECARE INC. D/B/A FRIENDSHIP VILLAGE has sponsored the creation of one or more 401k plans.

Company Name:LIFECARE INC. D/B/A FRIENDSHIP VILLAGE
Employer identification number (EIN):382067110
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFECARE, INC. DBA FRIENDSHIP VILLAGE 403(B) EMPLOYER RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-10-01STEPHANIE EDWARDS
0012022-10-01
0012022-10-01STEPHANIE EDWARDS
0012021-10-01
0012021-10-01STEPHANIE EDWARDS

Financial Data on LIFECARE, INC. DBA FRIENDSHIP VILLAGE 403(B) EMPLOYER RETIREMENT PLAN

Measure Date Value
2023 : LIFECARE, INC. DBA FRIENDSHIP VILLAGE 403(B) EMPLOYER RETIREMENT PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-09-30$0
Total income from all sources (including contributions)2023-09-30$737,401
Total loss/gain on sale of assets2023-09-30$0
Total of all expenses incurred2023-09-30$218,668
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-09-30$213,821
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-09-30$327,121
Value of total assets at end of year2023-09-30$3,927,383
Value of total assets at beginning of year2023-09-30$3,408,650
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-09-30$4,847
Total interest from all sources2023-09-30$21,752
Total dividends received (eg from common stock, registered investment company shares)2023-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-09-30No
Was this plan covered by a fidelity bond2023-09-30No
If this is an individual account plan, was there a blackout period2023-09-30No
Were there any nonexempt tranactions with any party-in-interest2023-09-30No
Contributions received from participants2023-09-30$223,438
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-09-30No
Value of net income/loss2023-09-30$518,733
Value of net assets at end of year (total assets less liabilities)2023-09-30$3,927,383
Value of net assets at beginning of year (total assets less liabilities)2023-09-30$3,408,650
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-09-30No
Were any leases to which the plan was party in default or uncollectible2023-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-09-30$3,050,223
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-09-30$2,571,364
Interest earned on other investments2023-09-30$21,752
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-09-30$877,160
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-09-30$837,286
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-09-30$388,528
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-09-30No
Was there a failure to transmit to the plan any participant contributions2023-09-30Yes
Has the plan failed to provide any benefit when due under the plan2023-09-30No
Contributions received in cash from employer2023-09-30$103,683
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-09-30$213,821
Contract administrator fees2023-09-30$4,847
Did the plan have assets held for investment2023-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-09-30No
Opinion of an independent qualified public accountant for this plan2023-09-30Unqualified
Accountancy firm name2023-09-30PLANTE & MORAN, PLLC
Accountancy firm EIN2023-09-30381357951
2022 : LIFECARE, INC. DBA FRIENDSHIP VILLAGE 403(B) EMPLOYER RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-10-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-10-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-10-01$0
Total income from all sources (including contributions)2022-10-01$737,401
Total loss/gain on sale of assets2022-10-01$0
Total of all expenses incurred2022-10-01$218,668
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-10-01$213,821
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-10-01$327,121
Value of total assets at end of year2022-10-01$3,927,383
Value of total assets at beginning of year2022-10-01$3,408,650
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-10-01$4,847
Total interest from all sources2022-10-01$21,752
Total dividends received (eg from common stock, registered investment company shares)2022-10-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-10-01No
Was this plan covered by a fidelity bond2022-10-01No
If this is an individual account plan, was there a blackout period2022-10-01No
Were there any nonexempt tranactions with any party-in-interest2022-10-01No
Contributions received from participants2022-10-01$223,438
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-10-01No
Value of net income/loss2022-10-01$518,733
Value of net assets at end of year (total assets less liabilities)2022-10-01$3,927,383
Value of net assets at beginning of year (total assets less liabilities)2022-10-01$3,408,650
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-10-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-10-01No
Were any leases to which the plan was party in default or uncollectible2022-10-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-10-01$3,050,223
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-10-01$2,571,364
Interest earned on other investments2022-10-01$21,752
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-10-01$877,160
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-10-01$837,286
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-10-01$388,528
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-10-01No
Was there a failure to transmit to the plan any participant contributions2022-10-01Yes
Has the plan failed to provide any benefit when due under the plan2022-10-01No
Contributions received in cash from employer2022-10-01$103,683
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-10-01$213,821
Contract administrator fees2022-10-01$4,847
Did the plan have assets held for investment2022-10-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-10-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-10-01No
Opinion of an independent qualified public accountant for this plan2022-10-011
Accountancy firm name2022-10-01PLANTE & MORAN, PLLC
Accountancy firm EIN2022-10-01381357951
Total unrealized appreciation/depreciation of assets2022-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$0
Total income from all sources (including contributions)2022-09-30$-325,705
Total loss/gain on sale of assets2022-09-30$0
Total of all expenses incurred2022-09-30$184,601
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-09-30$178,843
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-09-30$296,921
Value of total assets at end of year2022-09-30$3,408,650
Value of total assets at beginning of year2022-09-30$3,918,956
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-09-30$5,758
Total interest from all sources2022-09-30$20,858
Total dividends received (eg from common stock, registered investment company shares)2022-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-09-30No
Was this plan covered by a fidelity bond2022-09-30No
If this is an individual account plan, was there a blackout period2022-09-30No
Were there any nonexempt tranactions with any party-in-interest2022-09-30No
Contributions received from participants2022-09-30$200,641
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Value of net income/loss2022-09-30$-510,306
Value of net assets at end of year (total assets less liabilities)2022-09-30$3,408,650
Value of net assets at beginning of year (total assets less liabilities)2022-09-30$3,918,956
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-09-30No
Were any leases to which the plan was party in default or uncollectible2022-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-09-30$2,571,364
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-09-30$3,111,104
Interest earned on other investments2022-09-30$20,858
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-09-30$837,286
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-09-30$807,852
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-09-30$-643,484
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-09-30No
Was there a failure to transmit to the plan any participant contributions2022-09-30Yes
Has the plan failed to provide any benefit when due under the plan2022-09-30No
Contributions received in cash from employer2022-09-30$96,280
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-09-30$178,843
Contract administrator fees2022-09-30$5,758
Did the plan have assets held for investment2022-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-09-30No
Opinion of an independent qualified public accountant for this plan2022-09-30Unqualified
Accountancy firm name2022-09-30PLANTE & MORAN, PLLC
Accountancy firm EIN2022-09-30381357951

Form 5500 Responses for LIFECARE, INC. DBA FRIENDSHIP VILLAGE 403(B) EMPLOYER RETIREMENT PLAN

2022: LIFECARE, INC. DBA FRIENDSHIP VILLAGE 403(B) EMPLOYER RETIREMENT PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01Submission has been amendedNo
2022-10-01This submission is the final filingNo
2022-10-01This return/report is a short plan year return/report (less than 12 months)No
2022-10-01Plan is a collectively bargained planNo
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan funding arrangement – TrustYes
2022-10-01Plan benefit arrangement – InsuranceYes
2022-10-01Plan benefit arrangement - TrustYes
2021: LIFECARE, INC. DBA FRIENDSHIP VILLAGE 403(B) EMPLOYER RETIREMENT PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedNo
2021-10-01This submission is the final filingNo
2021-10-01This return/report is a short plan year return/report (less than 12 months)No
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number52208
Policy instance 1
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number52208
Policy instance 1

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