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| Plan Name | PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | PEACE HAVEN ASSOCIATION |
| Employer identification number (EIN): | 430677632 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
Additional information about PEACE HAVEN ASSOCIATION
| Jurisdiction of Incorporation: | Iowa Secretary of State Business Entities |
| Incorporation Date: | 1959-11-02 |
| Company Identification Number: | 079829 |
| Legal Registered Office Address: |
900 ANTIQUE CITY DR WALNUT United States of America (USA) 51577 |
More information about PEACE HAVEN ASSOCIATION
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2024-01-01 | VALERIE HICKAM | |||
| 505 | 2023-01-01 | ||||
| 505 | 2023-01-01 | VALERIE HICKAM | |||
| 505 | 2022-01-01 | ||||
| 505 | 2022-01-01 | VALERIE HICKAM | |||
| 505 | 2021-01-01 | ||||
| 505 | 2021-01-01 | VALERIE HICKAM | |||
| 505 | 2020-01-01 | ||||
| 505 | 2019-01-01 | ||||
| 505 | 2018-01-01 | VALERIE HICKAM | |||
| 505 | 2017-01-01 | VALERIE HICKAM |
| Measure | Date | Value |
|---|---|---|
| 2023: PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-01-01 | 23 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 24 |
| 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 |
| Total of all active and inactive participants | 2023-01-01 | 24 |
| 2022: PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-01-01 | 24 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 23 |
| 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 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 23 |
| 2021: PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-01-01 | 25 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 25 |
| 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 | 0 |
| Total of all active and inactive participants | 2021-01-01 | 25 |
| 2020: PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-01-01 | 25 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 28 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
| Total of all active and inactive participants | 2020-01-01 | 28 |
| 2019: PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 27 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 23 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 23 |
| 2018: PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-01-01 | 30 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 26 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
| Total of all active and inactive participants | 2018-01-01 | 26 |
| 2017: PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 29 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 28 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 28 |
| Measure | Date | Value |
|---|---|---|
| 2023 : PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST 2023 401k financial data | ||
| Total income from all sources | 2023-12-31 | $31,023 |
| Expenses. Total of all expenses incurred | 2023-12-31 | $23,006 |
| Benefits paid (including direct rollovers) | 2023-12-31 | $6,231 |
| Total plan assets at end of year | 2023-12-31 | $66,524 |
| Total plan assets at beginning of year | 2023-12-31 | $58,507 |
| Value of fidelity bond covering the plan | 2023-12-31 | $100,000 |
| Net income (gross income less expenses) | 2023-12-31 | $8,017 |
| Net plan assets at end of year (total assets less liabilities) | 2023-12-31 | $66,524 |
| Net plan assets at beginning of year (total assets less liabilities) | 2023-12-31 | $58,507 |
| Total contributions received or receivable from employer(s) | 2023-12-31 | $31,023 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2023-12-31 | $16,775 |
| 2022 : PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST 2022 401k financial data | ||
| Total income from all sources | 2022-12-31 | $32,306 |
| Expenses. Total of all expenses incurred | 2022-12-31 | $23,648 |
| Benefits paid (including direct rollovers) | 2022-12-31 | $7,429 |
| Total plan assets at end of year | 2022-12-31 | $58,507 |
| Total plan assets at beginning of year | 2022-12-31 | $49,849 |
| Value of fidelity bond covering the plan | 2022-12-31 | $100,000 |
| Total contributions received or receivable from participants | 2022-12-31 | $351 |
| Expenses. Other expenses not covered elsewhere | 2022-12-31 | $16,219 |
| Net income (gross income less expenses) | 2022-12-31 | $8,658 |
| Net plan assets at end of year (total assets less liabilities) | 2022-12-31 | $58,507 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-12-31 | $49,849 |
| Total contributions received or receivable from employer(s) | 2022-12-31 | $31,955 |
| 2021 : PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST 2021 401k financial data | ||
| Total income from all sources | 2021-12-31 | $30,679 |
| Expenses. Total of all expenses incurred | 2021-12-31 | $24,126 |
| Benefits paid (including direct rollovers) | 2021-12-31 | $7,763 |
| Total plan assets at end of year | 2021-12-31 | $49,849 |
| Total plan assets at beginning of year | 2021-12-31 | $43,296 |
| Value of fidelity bond covering the plan | 2021-12-31 | $100,000 |
| Expenses. Other expenses not covered elsewhere | 2021-12-31 | $16,363 |
| Net income (gross income less expenses) | 2021-12-31 | $6,553 |
| Net plan assets at end of year (total assets less liabilities) | 2021-12-31 | $49,849 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-12-31 | $43,296 |
| Total contributions received or receivable from employer(s) | 2021-12-31 | $30,679 |
| 2020 : PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST 2020 401k financial data | ||
| Total income from all sources | 2020-12-31 | $28,565 |
| Expenses. Total of all expenses incurred | 2020-12-31 | $21,975 |
| Benefits paid (including direct rollovers) | 2020-12-31 | $5,379 |
| Total plan assets at end of year | 2020-12-31 | $43,296 |
| Total plan assets at beginning of year | 2020-12-31 | $36,706 |
| Value of fidelity bond covering the plan | 2020-12-31 | $100,000 |
| Expenses. Other expenses not covered elsewhere | 2020-12-31 | $16,596 |
| Net income (gross income less expenses) | 2020-12-31 | $6,590 |
| Net plan assets at end of year (total assets less liabilities) | 2020-12-31 | $43,296 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-12-31 | $36,706 |
| Total contributions received or receivable from employer(s) | 2020-12-31 | $28,565 |
| 2019 : PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST 2019 401k financial data | ||
| Total income from all sources | 2019-12-31 | $37,435 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $20,967 |
| Benefits paid (including direct rollovers) | 2019-12-31 | $4,774 |
| Total plan assets at end of year | 2019-12-31 | $36,706 |
| Total plan assets at beginning of year | 2019-12-31 | $20,238 |
| Value of fidelity bond covering the plan | 2019-12-31 | $100,000 |
| Expenses. Other expenses not covered elsewhere | 2019-12-31 | $16,193 |
| Net income (gross income less expenses) | 2019-12-31 | $16,468 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $36,706 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $20,238 |
| Total contributions received or receivable from employer(s) | 2019-12-31 | $37,435 |
| 2018 : PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST 2018 401k financial data | ||
| Total income from all sources | 2018-12-31 | $28,794 |
| Expenses. Total of all expenses incurred | 2018-12-31 | $24,971 |
| Benefits paid (including direct rollovers) | 2018-12-31 | $8,134 |
| Total plan assets at end of year | 2018-12-31 | $20,238 |
| Total plan assets at beginning of year | 2018-12-31 | $16,415 |
| Value of fidelity bond covering the plan | 2018-12-31 | $100,000 |
| Total contributions received or receivable from participants | 2018-12-31 | $263 |
| Expenses. Other expenses not covered elsewhere | 2018-12-31 | $16,837 |
| Net income (gross income less expenses) | 2018-12-31 | $3,823 |
| Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $20,238 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $16,415 |
| Total contributions received or receivable from employer(s) | 2018-12-31 | $28,531 |
| 2017 : PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST 2017 401k financial data | ||
| Total income from all sources | 2017-12-31 | $39,444 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $23,029 |
| Benefits paid (including direct rollovers) | 2017-12-31 | $6,066 |
| Total plan assets at end of year | 2017-12-31 | $16,415 |
| Total plan assets at beginning of year | 2017-12-31 | $0 |
| Value of fidelity bond covering the plan | 2017-12-31 | $100,000 |
| Expenses. Other expenses not covered elsewhere | 2017-12-31 | $16,963 |
| Net income (gross income less expenses) | 2017-12-31 | $16,415 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $16,415 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2017-12-31 | $39,444 |
| 2023: PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Trust | Yes |
| 2023-01-01 | Plan benefit arrangement - Trust | Yes |
| 2022: PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Trust | Yes |
| 2022-01-01 | Plan benefit arrangement - Trust | Yes |
| 2021: PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Trust | Yes |
| 2021-01-01 | Plan benefit arrangement - Trust | Yes |
| 2020: PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST 2020 form 5500 responses | ||
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Trust | Yes |
| 2020-01-01 | Plan benefit arrangement - Trust | Yes |
| 2019: PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST 2019 form 5500 responses | ||
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Trust | Yes |
| 2019-01-01 | Plan benefit arrangement - Trust | Yes |
| 2018: PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST 2018 form 5500 responses | ||
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Trust | Yes |
| 2018-01-01 | Plan benefit arrangement - Trust | Yes |
| 2017: PEACE HAVEN EMPLOYEE BENEFIT PLAN TRUST 2017 form 5500 responses | ||
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | First time form 5500 has been submitted | Yes |
| 2017-01-01 | Plan funding arrangement – Trust | Yes |
| 2017-01-01 | Plan benefit arrangement - Trust | Yes |