401k Plan data: EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN plan

EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 401k Plan overview

Plan Name	EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN
Plan identification number	001

EVERGREEN SENIOR MANAGEMENT LLC 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

EVERGREEN SENIOR MANAGEMENT LLC has sponsored the creation of one or more 401k plans.

Company Name: EVERGREEN SENIOR MANAGEMENT LLC

Employer identification number (EIN): 463140763

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

Additional information about EVERGREEN SENIOR MANAGEMENT LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 5356893

More information about EVERGREEN SENIOR MANAGEMENT LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01 GREG BOBKA 2022-10-14 GREG BOBKA 2022-10-14
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 GREG BOBKA
001 2016-01-01 GREG BOBKA
001 2015-01-01 GREGORY BOBKA GREGORY BOBKA 2016-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01	GREG BOBKA	2022-10-14	GREG BOBKA	2022-10-14
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	GREG BOBKA
001	2016-01-01	GREG BOBKA
001	2015-01-01	GREGORY BOBKA		GREGORY BOBKA	2016-10-14

Plan Statistics for EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN

401k plan membership statisitcs for EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN

Measure Date Value
2022: EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 1,196
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 768
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 298
Total of all active and inactive participants 2022-01-01 1,066
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 1,066
Number of participants with account balances 2022-01-01 555
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 1,071
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 845
Number of retired or separated participants receiving benefits 2021-01-01 247
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 1,092
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 1,092
Number of participants with account balances 2021-01-01 508
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,593
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 1,199
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 173
Total of all active and inactive participants 2020-01-01 1,372
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 1,372
Number of participants with account balances 2020-01-01 515
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 749
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 809
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 113
Total of all active and inactive participants 2019-01-01 922
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 922
Number of participants with account balances 2019-01-01 501
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 704
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 525
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 104
Total of all active and inactive participants 2018-01-01 629
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 629
Number of participants with account balances 2018-01-01 391
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 784
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 574
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 39
Total of all active and inactive participants 2017-01-01 613
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 613
Number of participants with account balances 2017-01-01 416
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 684
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 614
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 77
Total of all active and inactive participants 2016-01-01 691
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 691
Number of participants with account balances 2016-01-01 393
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 549
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 56
Total of all active and inactive participants 2015-01-01 605
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 605
Number of participants with account balances 2015-01-01 343
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0

Measure	Date	Value
2022: EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	1,196
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	768
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	298
Total of all active and inactive participants	2022-01-01	1,066
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	1,066
Number of participants with account balances	2022-01-01	555
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	1,071
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	845
Number of retired or separated participants receiving benefits	2021-01-01	247
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	1,092
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	1,092
Number of participants with account balances	2021-01-01	508
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,593
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	1,199
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	173
Total of all active and inactive participants	2020-01-01	1,372
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	1,372
Number of participants with account balances	2020-01-01	515
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	749
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	809
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	113
Total of all active and inactive participants	2019-01-01	922
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	922
Number of participants with account balances	2019-01-01	501
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	704
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	525
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	104
Total of all active and inactive participants	2018-01-01	629
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	629
Number of participants with account balances	2018-01-01	391
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	784
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	574
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	39
Total of all active and inactive participants	2017-01-01	613
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	613
Number of participants with account balances	2017-01-01	416
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	684
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	614
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	77
Total of all active and inactive participants	2016-01-01	691
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	691
Number of participants with account balances	2016-01-01	393
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	549
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	56
Total of all active and inactive participants	2015-01-01	605
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	605
Number of participants with account balances	2015-01-01	343
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0

Financial Data on EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN

Measure	Date	Value
2022 : EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2022 401k financial data
Expenses. Interest paid	2022-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-145,206
Total of all expenses incurred	2022-12-31	$935,012
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$792,498
Expenses. Certain deemed distributions of participant loans	2022-12-31	$92,264
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,243,889
Value of total assets at end of year	2022-12-31	$7,582,262
Value of total assets at beginning of year	2022-12-31	$8,662,480
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$50,250
Total interest from all sources	2022-12-31	$9,003
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$181,491
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	$50,250
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$1,000,000
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	$690,195
Participant contributions at end of year	2022-12-31	$198,915
Participant contributions at beginning of year	2022-12-31	$209,660
Participant contributions at end of year	2022-12-31	$2,879
Participant contributions at beginning of year	2022-12-31	$256
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$61,195
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	$-1,080,218
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$7,582,262
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$8,662,480
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	$7,132,035
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$8,322,765
Interest on participant loans	2022-12-31	$9,003
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$2,180
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$2,158
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$2,158
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$243,953
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$56,005
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-1,579,589
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	Yes
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	$492,499
Employer contributions (assets) at end of year	2022-12-31	$2,300
Employer contributions (assets) at beginning of year	2022-12-31	$71,636
Income. Dividends from preferred stock	2022-12-31	$181,491
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$792,498
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	MCCARTHY & COMPANY, PC
Accountancy firm EIN	2022-12-31	232851329
2021 : EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2021 401k financial data
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	$2,175,269
Total of all expenses incurred	2021-12-31	$817,454
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$748,997
Expenses. Certain deemed distributions of participant loans	2021-12-31	$12,950
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,220,095
Value of total assets at end of year	2021-12-31	$8,662,480
Value of total assets at beginning of year	2021-12-31	$7,304,665
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$55,507
Total interest from all sources	2021-12-31	$8,088
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$242,915
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$242,915
Administrative expenses professional fees incurred	2021-12-31	$55,507
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$1,000,000
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	$726,225
Participant contributions at end of year	2021-12-31	$209,660
Participant contributions at beginning of year	2021-12-31	$169,470
Participant contributions at end of year	2021-12-31	$256
Participant contributions at beginning of year	2021-12-31	$256
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$39,517
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$0
Total non interest bearing cash at beginning of year	2021-12-31	$0
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	$1,357,815
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$8,662,480
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$7,304,665
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	$8,322,765
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$6,859,019
Interest on participant loans	2021-12-31	$8,088
Interest earned on other investments	2021-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$2,158
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$2,270
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$2,270
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$56,005
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$202,014
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$704,171
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	$454,353
Employer contributions (assets) at end of year	2021-12-31	$71,636
Employer contributions (assets) at beginning of year	2021-12-31	$71,636
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$748,997
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	MCCARTHY & COMPANY, PC
Accountancy firm EIN	2021-12-31	232851329
2020 : EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2020-12-31	$0
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	$372
Total income from all sources (including contributions)	2020-12-31	$2,623,167
Total of all expenses incurred	2020-12-31	$455,281
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$432,635
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,490,847
Value of total assets at end of year	2020-12-31	$7,304,665
Value of total assets at beginning of year	2020-12-31	$5,137,151
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$22,646
Total interest from all sources	2020-12-31	$9,493
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$131,867
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$131,867
Administrative expenses professional fees incurred	2020-12-31	$22,646
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$716,327
Participant contributions at end of year	2020-12-31	$169,470
Participant contributions at beginning of year	2020-12-31	$168,583
Participant contributions at end of year	2020-12-31	$256
Participant contributions at beginning of year	2020-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$231,515
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$372
Total non interest bearing cash at end of year	2020-12-31	$0
Total non interest bearing cash at beginning of year	2020-12-31	$233
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	$2,167,886
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$7,304,665
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$5,136,779
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	$6,859,019
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$4,953,735
Interest on participant loans	2020-12-31	$9,286
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$2,270
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$14,600
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$14,600
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$207
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$202,014
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$990,960
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	$543,005
Employer contributions (assets) at end of year	2020-12-31	$71,636
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$432,635
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	Disclaimer
Accountancy firm name	2020-12-31	BORISLOW, FACTOR & KAUFMANN, LLC
Accountancy firm EIN	2020-12-31	232464958
2019 : EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total transfer of assets from this plan	2019-12-31	$120,246
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$372
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$86
Total income from all sources (including contributions)	2019-12-31	$2,133,249
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$966,463
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$950,152
Expenses. Certain deemed distributions of participant loans	2019-12-31	$2,581
Value of total corrective distributions	2019-12-31	$4,730
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,263,850
Value of total assets at end of year	2019-12-31	$5,137,151
Value of total assets at beginning of year	2019-12-31	$4,090,325
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$9,000
Total interest from all sources	2019-12-31	$9,052
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$126,893
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	$126,893
Administrative expenses professional fees incurred	2019-12-31	$9,000
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$1,000,000
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	$632,586
Participant contributions at end of year	2019-12-31	$168,583
Participant contributions at beginning of year	2019-12-31	$173,382
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$20,165
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$184,982
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$293
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$372
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$86
Total non interest bearing cash at end of year	2019-12-31	$233
Total non interest bearing cash at beginning of year	2019-12-31	$283
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	$1,166,786
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$5,136,779
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$4,090,239
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	$4,953,735
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$3,881,782
Interest on participant loans	2019-12-31	$8,862
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$14,600
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$5,774
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$5,774
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$190
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$733,454
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	Yes
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	$446,282
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$8,646
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$950,152
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	BORISLOW, FACTOR & KAUFMANN, LLC
Accountancy firm EIN	2019-12-31	232464958
2018 : EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$86
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	$640,275
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$383,737
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$359,854
Expenses. Certain deemed distributions of participant loans	2018-12-31	$2,641
Value of total corrective distributions	2018-12-31	$13,492
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$878,102
Value of total assets at end of year	2018-12-31	$4,090,325
Value of total assets at beginning of year	2018-12-31	$3,833,701
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$7,750
Total interest from all sources	2018-12-31	$6,392
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$122,481
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	$122,481
Administrative expenses professional fees incurred	2018-12-31	$7,750
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$1,000,000
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	$610,646
Participant contributions at end of year	2018-12-31	$173,382
Participant contributions at beginning of year	2018-12-31	$103,909
Participant contributions at end of year	2018-12-31	$20,165
Participant contributions at beginning of year	2018-12-31	$21,138
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$8,813
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$293
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$165
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$86
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$0
Total non interest bearing cash at end of year	2018-12-31	$283
Total non interest bearing cash at beginning of year	2018-12-31	$197
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	$256,538
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$4,090,239
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$3,833,701
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	$3,881,782
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$3,648,261
Interest on participant loans	2018-12-31	$6,164
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$5,774
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$51,042
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$51,042
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-12-31	$228
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-366,700
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	Yes
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	$258,643
Employer contributions (assets) at end of year	2018-12-31	$8,646
Employer contributions (assets) at beginning of year	2018-12-31	$8,989
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$359,854
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	BORISLOW, FACTOR & KAUFMANN, LLC
Accountancy firm EIN	2018-12-31	232464958
2017 : EVERGREEN SENIOR MANAGEMENT LLC 401(K) 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	$1,459,650
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$406,076
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$383,396
Expenses. Certain deemed distributions of participant loans	2017-12-31	$797
Value of total corrective distributions	2017-12-31	$8,883
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$962,413
Value of total assets at end of year	2017-12-31	$3,833,701
Value of total assets at beginning of year	2017-12-31	$2,780,127
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$13,000
Total interest from all sources	2017-12-31	$4,401
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$85,249
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$85,249
Administrative expenses professional fees incurred	2017-12-31	$13,000
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$1,000,000
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	$654,128
Participant contributions at end of year	2017-12-31	$103,909
Participant contributions at beginning of year	2017-12-31	$102,385
Participant contributions at end of year	2017-12-31	$21,138
Participant contributions at beginning of year	2017-12-31	$22,399
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$55,581
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$165
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$171
Total non interest bearing cash at end of year	2017-12-31	$197
Total non interest bearing cash at beginning of year	2017-12-31	$1,857
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	$1,053,574
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$3,833,701
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$2,780,127
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	$3,648,261
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$2,596,281
Interest on participant loans	2017-12-31	$4,117
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$51,042
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$48,337
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$48,337
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$284
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$407,587
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	$252,704
Employer contributions (assets) at end of year	2017-12-31	$8,989
Employer contributions (assets) at beginning of year	2017-12-31	$8,697
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$383,396
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	BORISLOW, FACTOR & KAUFMANN, LLC
Accountancy firm EIN	2017-12-31	232464958
2016 : EVERGREEN SENIOR MANAGEMENT LLC 401(K) 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	$1,255,663
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$156,650
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$150,823
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,087,064
Value of total assets at end of year	2016-12-31	$2,780,127
Value of total assets at beginning of year	2016-12-31	$1,681,114
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$5,827
Total interest from all sources	2016-12-31	$2,646
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$65,691
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$65,691
Administrative expenses professional fees incurred	2016-12-31	$5,827
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$1,000,000
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	$634,973
Participant contributions at end of year	2016-12-31	$102,385
Participant contributions at beginning of year	2016-12-31	$47,780
Participant contributions at end of year	2016-12-31	$22,399
Participant contributions at beginning of year	2016-12-31	$22,894
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$205,938
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$171
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$82
Total non interest bearing cash at end of year	2016-12-31	$1,857
Total non interest bearing cash at beginning of year	2016-12-31	$266
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	$1,099,013
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$2,780,127
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,681,114
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	$2,596,281
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$1,599,754
Interest on participant loans	2016-12-31	$2,480
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$48,337
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$529
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$529
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$166
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$100,262
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	$246,153
Employer contributions (assets) at end of year	2016-12-31	$8,697
Employer contributions (assets) at beginning of year	2016-12-31	$9,809
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$150,823
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	ST. CLAIR CPAS, P.C.
Accountancy firm EIN	2016-12-31	232653765
2015 : EVERGREEN SENIOR MANAGEMENT LLC 401(K) 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	$1,205,259
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	$562,268
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$86,413
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$84,363
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$592,601
Value of total assets at end of year	2015-12-31	$1,681,114
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	$2,050
Total interest from all sources	2015-12-31	$516
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$68,075
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$68,075
Administrative expenses professional fees incurred	2015-12-31	$2,050
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
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	$412,272
Participant contributions at end of year	2015-12-31	$47,780
Participant contributions at beginning of year	2015-12-31	$0
Participant contributions at end of year	2015-12-31	$22,894
Participant contributions at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$3,382
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$82
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$0
Total non interest bearing cash at end of year	2015-12-31	$266
Total non interest bearing cash at beginning of year	2015-12-31	$0
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	$475,855
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,681,114
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	$1,599,754
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$0
Interest on participant loans	2015-12-31	$516
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$529
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-98,924
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	Yes
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	$176,947
Employer contributions (assets) at end of year	2015-12-31	$9,809
Employer contributions (assets) at beginning of year	2015-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$84,363
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	ST. CLAIR CPAS, P.C.
Accountancy firm EIN	2015-12-31	232653765

Form 5500 Responses for EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN

2022: EVERGREEN SENIOR MANAGEMENT LLC 401(K) 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 – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: EVERGREEN SENIOR MANAGEMENT LLC 401(K) 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 – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: EVERGREEN SENIOR MANAGEMENT LLC 401(K) 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 – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: EVERGREEN SENIOR MANAGEMENT LLC 401(K) 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: EVERGREEN SENIOR MANAGEMENT LLC 401(K) 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: EVERGREEN SENIOR MANAGEMENT LLC 401(K) 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: EVERGREEN SENIOR MANAGEMENT LLC 401(K) 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: EVERGREEN SENIOR MANAGEMENT LLC 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	First time form 5500 has been submitted	Yes
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

517-80160

Policy instance

Insurance contract or identification number	517-80160
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

517-80160

Policy instance

Insurance contract or identification number	517-80160
Number of Individuals Covered	508
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

517-80160

Policy instance

Insurance contract or identification number	517-80160
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes

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Company Name:	EVERGREEN SENIOR MANAGEMENT LLC
Employer identification number (EIN):	463140763
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	5356893