401k Plan data: EASTWOOD 401(K) PLAN plan

EASTWOOD 401(K) PLAN 401k Plan overview

Plan Name	EASTWOOD 401(K) PLAN
Plan identification number	333

EASTWOOD 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

EASTWOOD NURSING CENTER OF NEGAUNEE, INC. has sponsored the creation of one or more 401k plans.

Company Name: EASTWOOD NURSING CENTER OF NEGAUNEE, INC.

Employer identification number (EIN): 383065095

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EASTWOOD 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
333 2022-01-01 LEE JOHNSON 2023-09-19
333 2021-01-01 LEE JOHNSON 2022-10-07
333 2020-01-01 LEE JOHNSON 2021-09-13
333 2019-01-01 LEE JOHNSON 2020-08-25
333 2018-01-01 LEE JOHNSON 2019-09-26
333 2017-01-01 LEE JOHNSON 2018-08-22
333 2016-01-01 LEE JOHNSON 2017-07-12
333 2015-01-01 LEE JOHNSON 2016-07-07
333 2014-01-01 LEE JOHNSON
333 2013-01-01 LEE JOHNSON
333 2012-01-01 LEE C JOHNSON
333 2011-01-01 LEE JOHNSON
333 2010-01-01 LEE C. JOHNSON 2011-05-02

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
333	2022-01-01	LEE JOHNSON	2023-09-19
333	2021-01-01	LEE JOHNSON	2022-10-07
333	2020-01-01	LEE JOHNSON	2021-09-13
333	2019-01-01	LEE JOHNSON	2020-08-25
333	2018-01-01	LEE JOHNSON	2019-09-26
333	2017-01-01	LEE JOHNSON	2018-08-22
333	2016-01-01	LEE JOHNSON	2017-07-12
333	2015-01-01	LEE JOHNSON	2016-07-07
333	2014-01-01	LEE JOHNSON
333	2013-01-01	LEE JOHNSON
333	2012-01-01	LEE C JOHNSON
333	2011-01-01	LEE JOHNSON
333	2010-01-01	LEE C. JOHNSON	2011-05-02

Plan Statistics for EASTWOOD 401(K) PLAN

401k plan membership statisitcs for EASTWOOD 401(K) PLAN

Measure Date Value
2014: EASTWOOD 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 116
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 100
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 10
Total of all active and inactive participants 2014-01-01 110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 110
Number of participants with account balances 2014-01-01 44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: EASTWOOD 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 121
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 98
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 10
Total of all active and inactive participants 2013-01-01 108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 108
Number of participants with account balances 2013-01-01 46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: EASTWOOD 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 126
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 105
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 10
Total of all active and inactive participants 2012-01-01 115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 115
Number of participants with account balances 2012-01-01 49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: EASTWOOD 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 121
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 104
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 13
Total of all active and inactive participants 2011-01-01 117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 117
Number of participants with account balances 2011-01-01 52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2014: EASTWOOD 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	116
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	100
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	10
Total of all active and inactive participants	2014-01-01	110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	110
Number of participants with account balances	2014-01-01	44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: EASTWOOD 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	121
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	98
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	10
Total of all active and inactive participants	2013-01-01	108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	108
Number of participants with account balances	2013-01-01	46
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: EASTWOOD 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	126
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	105
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	10
Total of all active and inactive participants	2012-01-01	115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	115
Number of participants with account balances	2012-01-01	49
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: EASTWOOD 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	121
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	104
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	13
Total of all active and inactive participants	2011-01-01	117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	117
Number of participants with account balances	2011-01-01	52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on EASTWOOD 401(K) PLAN

Measure	Date	Value
2014 : EASTWOOD 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$208,284
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$438,227
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$433,346
Value of total corrective distributions	2014-12-31	$2,838
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$132,070
Value of total assets at end of year	2014-12-31	$1,869,872
Value of total assets at beginning of year	2014-12-31	$2,099,815
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$2,043
Total interest from all sources	2014-12-31	$4,672
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$210,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$132,070
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$682
Administrative expenses (other) incurred	2014-12-31	$568
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-229,943
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$1,869,872
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$2,099,815
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$952
Value of interest in pooled separate accounts at end of year	2014-12-31	$1,701,384
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$1,834,459
Interest earned on other investments	2014-12-31	$4,672
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$168,488
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$264,674
Net investment gain/loss from pooled separate accounts	2014-12-31	$71,542
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$433,346
Contract administrator fees	2014-12-31	$523
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	MAKELA, TOUTANT, HILL & NARDI, PC
Accountancy firm EIN	2014-12-31	382806590
2013 : EASTWOOD 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$404,546
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$66,863
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$37,311
Value of total corrective distributions	2013-12-31	$8,960
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$128,252
Value of total assets at end of year	2013-12-31	$2,099,815
Value of total assets at beginning of year	2013-12-31	$1,762,132
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$20,592
Total interest from all sources	2013-12-31	$6,503
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$180,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$128,252
Participant contributions at end of year	2013-12-31	$682
Participant contributions at beginning of year	2013-12-31	$3,428
Administrative expenses (other) incurred	2013-12-31	$19,368
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$337,683
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$2,099,815
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$1,762,132
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$799
Value of interest in pooled separate accounts at end of year	2013-12-31	$1,834,459
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$1,510,297
Interest earned on other investments	2013-12-31	$6,503
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$264,674
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$248,407
Net investment gain/loss from pooled separate accounts	2013-12-31	$269,791
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$37,311
Contract administrator fees	2013-12-31	$425
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	MAKELA, TOUTANT, HILL & NARDI, PC
Accountancy firm EIN	2013-12-31	382806590
2012 : EASTWOOD 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$335,291
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$176,462
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$152,064
Value of total corrective distributions	2012-12-31	$6,226
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$131,649
Value of total assets at end of year	2012-12-31	$1,762,132
Value of total assets at beginning of year	2012-12-31	$1,603,303
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$18,172
Total interest from all sources	2012-12-31	$7,097
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$180,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$131,649
Participant contributions at end of year	2012-12-31	$3,428
Participant contributions at beginning of year	2012-12-31	$3,488
Administrative expenses (other) incurred	2012-12-31	$16,977
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$158,829
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$1,762,132
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,603,303
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$670
Value of interest in pooled separate accounts at end of year	2012-12-31	$1,510,297
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$1,345,366
Interest earned on other investments	2012-12-31	$7,097
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$248,407
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$254,449
Net investment gain/loss from pooled separate accounts	2012-12-31	$196,545
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$152,064
Contract administrator fees	2012-12-31	$525
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	MAKELA, TOUTANT, HILL & NARDI, PC
Accountancy firm EIN	2012-12-31	382806590
2011 : EASTWOOD 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$99,699
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$206,937
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$181,211
Value of total corrective distributions	2011-12-31	$7,610
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$126,298
Value of total assets at end of year	2011-12-31	$1,603,303
Value of total assets at beginning of year	2011-12-31	$1,710,541
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$18,116
Total interest from all sources	2011-12-31	$5,700
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$180,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$126,298
Participant contributions at end of year	2011-12-31	$3,488
Participant contributions at beginning of year	2011-12-31	$3,365
Administrative expenses (other) incurred	2011-12-31	$16,754
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-107,238
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,603,303
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,710,541
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$670
Value of interest in pooled separate accounts at end of year	2011-12-31	$1,345,366
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$1,515,397
Interest earned on other investments	2011-12-31	$5,700
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$254,449
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$191,779
Net investment gain/loss from pooled separate accounts	2011-12-31	$-32,299
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$181,211
Contract administrator fees	2011-12-31	$692
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	MAKELA, TOUTANT, HILL & NARDI, PC
Accountancy firm EIN	2011-12-31	382806590

Form 5500 Responses for EASTWOOD 401(K) PLAN

2014: EASTWOOD 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Mulitple employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: EASTWOOD 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Mulitple employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: EASTWOOD 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Mulitple employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: EASTWOOD 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Mulitple employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

258-00016

Policy instance

Insurance contract or identification number	258-00016
Number of Individuals Covered	44
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $13,788
Total amount of fees paid to insurance company	USD $3,447
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,788
Insurance broker organization code?	4
Amount paid for insurance broker fees	3447
Additional information about fees paid to insurance broker	THIRD PARTY ADMINISTRATOR FEES
Insurance broker name	BELL FINANCIAL SERVICES COMPANY

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

258-00016

Policy instance

Insurance contract or identification number	258-00016
Number of Individuals Covered	46
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $13,787
Total amount of fees paid to insurance company	USD $3,447
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,787
Insurance broker organization code?	4
Amount paid for insurance broker fees	3447
Additional information about fees paid to insurance broker	THIRD PARTY ADMINISTRATOR FEES
Insurance broker name	BELL FINANCIAL SERVICES COMPANY

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

258-00016

Policy instance

Insurance contract or identification number	258-00016
Number of Individuals Covered	52
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $11,828
Total amount of fees paid to insurance company	USD $2,957
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	EASTWOOD NURSING CENTER OF NEGAUNEE, INC.
Employer identification number (EIN):	383065095
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities