401k Plan data: OAK HEALTH & REHABILITATION CENTERS, INC. 401(K) PLAN plan

OAK HEALTH & REHABILITATION CENTERS, INC. 401(K) PLAN 401k Plan overview

Plan Name	OAK HEALTH & REHABILITATION CENTERS, INC. 401(K) PLAN
Plan identification number	001

OAK HEALTH & REHABILITATION CENTERS, INC. 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

OAK HEALTH & REHABILITATION CENTERS, INC. has sponsored the creation of one or more 401k plans.

Company Name: OAK HEALTH & REHABILITATION CENTERS, INC.

Employer identification number (EIN): 465680638

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OAK HEALTH & REHABILITATION CENTERS, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01
001 2018-01-01
001 2017-01-01 GUY MURDOCK GUY MURDOCK 2018-10-11
001 2017-01-01 GUY MURDOCK GUY MURDOCK 2018-10-12
001 2017-01-01 GUY MURDOCK GUY MURDOCK 2018-10-12
001 2016-01-01 JOHN A. STARR
001 2015-01-01 ROBERT WEBSTER

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2018-01-01
001	2018-01-01
001	2017-01-01	GUY MURDOCK	GUY MURDOCK	2018-10-11
001	2017-01-01	GUY MURDOCK	GUY MURDOCK	2018-10-12
001	2017-01-01	GUY MURDOCK	GUY MURDOCK	2018-10-12
001	2016-01-01	JOHN A. STARR
001	2015-01-01	ROBERT WEBSTER

Plan Statistics for OAK HEALTH & REHABILITATION CENTERS, INC. 401(K) PLAN

401k plan membership statisitcs for OAK HEALTH & REHABILITATION CENTERS, INC. 401(K) PLAN

Measure Date Value
2018: OAK HEALTH & REHABILITATION CENTERS, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 2,466
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 0
Number of participants with account balances 2018-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: OAK HEALTH & REHABILITATION CENTERS, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 2,157
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 2,134
Number of retired or separated participants receiving benefits 2017-01-01 6
Number of other retired or separated participants entitled to future benefits 2017-01-01 67
Total of all active and inactive participants 2017-01-01 2,207
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 2,207
Number of participants with account balances 2017-01-01 279
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 6
2016: OAK HEALTH & REHABILITATION CENTERS, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 2,095
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 2,013
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 53
Total of all active and inactive participants 2016-01-01 2,066
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 2,066
Number of participants with account balances 2016-01-01 279
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: OAK HEALTH & REHABILITATION CENTERS, INC. 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 2,193
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 23
Total of all active and inactive participants 2015-01-01 2,216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 2,216
Number of participants with account balances 2015-01-01 252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 2

Measure	Date	Value
2018: OAK HEALTH & REHABILITATION CENTERS, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	2,466
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	0
Number of participants with account balances	2018-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: OAK HEALTH & REHABILITATION CENTERS, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	2,157
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	2,134
Number of retired or separated participants receiving benefits	2017-01-01	6
Number of other retired or separated participants entitled to future benefits	2017-01-01	67
Total of all active and inactive participants	2017-01-01	2,207
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	2,207
Number of participants with account balances	2017-01-01	279
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	6
2016: OAK HEALTH & REHABILITATION CENTERS, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	2,095
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	2,013
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	53
Total of all active and inactive participants	2016-01-01	2,066
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	2,066
Number of participants with account balances	2016-01-01	279
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: OAK HEALTH & REHABILITATION CENTERS, INC. 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	2,193
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	23
Total of all active and inactive participants	2015-01-01	2,216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	2,216
Number of participants with account balances	2015-01-01	252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	2

Financial Data on OAK HEALTH & REHABILITATION CENTERS, INC. 401(K) PLAN

Measure	Date	Value
2018 : OAK HEALTH & REHABILITATION CENTERS, INC. 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$325,933
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$5,970,116
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$5,940,923
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$178,476
Value of total assets at end of year	2018-12-31	$0
Value of total assets at beginning of year	2018-12-31	$5,644,183
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$29,193
Total interest from all sources	2018-12-31	$1,305
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2018-12-31	$0
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$1,555,000
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	$172,464
Participant contributions at beginning of year	2018-12-31	$67,091
Participant contributions at beginning of year	2018-12-31	$17,603
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$346
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	$-5,644,183
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$5,644,183
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 beginning of year	2018-12-31	$5,433,358
Interest on participant loans	2018-12-31	$1,305
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$121,774
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$146,152
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$6,012
Employer contributions (assets) at beginning of year	2018-12-31	$4,011
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$5,940,923
Contract administrator fees	2018-12-31	$29,193
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	No
2017 : OAK HEALTH & REHABILITATION CENTERS, INC. 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	$1,260,627
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$472,727
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$443,242
Expenses. Certain deemed distributions of participant loans	2017-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$582,244
Value of total assets at end of year	2017-12-31	$5,644,183
Value of total assets at beginning of year	2017-12-31	$4,856,283
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$29,485
Total interest from all sources	2017-12-31	$3,137
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$104,250
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	$104,250
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$1,555,000
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	$502,927
Participant contributions at end of year	2017-12-31	$67,091
Participant contributions at beginning of year	2017-12-31	$78,746
Participant contributions at end of year	2017-12-31	$17,603
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$58,620
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$346
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$766
Total non interest bearing cash at beginning of year	2017-12-31	$59
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	$787,900
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$5,644,183
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$4,856,283
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
Investment advisory and management fees	2017-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$5,433,358
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$4,676,499
Interest on participant loans	2017-12-31	$3,137
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$121,774
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$100,213
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$570,996
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	Yes
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	$20,697
Employer contributions (assets) at end of year	2017-12-31	$4,011
Employer contributions (assets) at beginning of year	2017-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$443,242
Contract administrator fees	2017-12-31	$29,485
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	MOORE STEPHENS LOVELACE, PA
Accountancy firm EIN	2017-12-31	593070669
2016 : OAK HEALTH & REHABILITATION CENTERS, INC. 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	$846,515
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$732,654
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$719,248
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$584,785
Value of total assets at end of year	2016-12-31	$4,856,283
Value of total assets at beginning of year	2016-12-31	$4,742,422
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$13,406
Total interest from all sources	2016-12-31	$6,071
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$78,093
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	$78,093
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$1,555,000
If this is an individual account plan, was there a blackout period	2016-12-31	Yes
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	$510,580
Participant contributions at end of year	2016-12-31	$78,746
Participant contributions at beginning of year	2016-12-31	$118,840
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$59,222
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$766
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$0
Total non interest bearing cash at end of year	2016-12-31	$59
Total non interest bearing cash at beginning of year	2016-12-31	$1,125
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	$113,861
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$4,856,283
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$4,742,422
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
Investment advisory and management fees	2016-12-31	$13,406
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$4,676,499
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$4,388,305
Interest on participant loans	2016-12-31	$3,980
Interest earned on other investments	2016-12-31	$1,983
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$231,155
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$231,155
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$108
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$100,213
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$177,566
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	Yes
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	$14,983
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$2,997
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$719,248
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	Yes
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	MOORE STEPHENS LOVELACE
Accountancy firm EIN	2016-12-31	593070669
2015 : OAK HEALTH & REHABILITATION CENTERS, INC. 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
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	$5,125,724
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$383,302
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$380,922
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$5,109,579
Value of total assets at end of year	2015-12-31	$4,742,422
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	$2,380
Total interest from all sources	2015-12-31	$719
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$245,260
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	$245,260
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,555,000
If this is an individual account plan, was there a blackout period	2015-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$230,092
Participant contributions at end of year	2015-12-31	$118,840
Participant contributions at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$4,865,689
Total non interest bearing cash at end of year	2015-12-31	$1,125
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	$4,742,422
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$4,742,422
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	$4,388,305
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	$719
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$231,155
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	$-229,834
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$13,798
Employer contributions (assets) at end of year	2015-12-31	$2,997
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	$380,922
Contract administrator fees	2015-12-31	$2,380
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-12-31	Yes
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
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	MOORE STEPHENS LOVELACE
Accountancy firm EIN	2015-12-31	593070669

Form 5500 Responses for OAK HEALTH & REHABILITATION CENTERS, INC. 401(K) PLAN

2018: OAK HEALTH & REHABILITATION CENTERS, INC. 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	Yes
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	Yes
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: OAK HEALTH & REHABILITATION CENTERS, INC. 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	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: OAK HEALTH & REHABILITATION CENTERS, INC. 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 – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: OAK HEALTH & REHABILITATION CENTERS, INC. 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

GAP-CP-JA2B

Policy instance

Insurance contract or identification number	GAP-CP-JA2B
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
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
Amount paid for insurance broker fees	0
Insurance broker organization code?	7

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

Policy contract number

GAP-CP-JA2B

Policy instance

Insurance contract or identification number	GAP-CP-JA2B
Number of Individuals Covered	20
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
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
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	0
Insurance broker organization code?	7
Insurance broker name	LPL FINANCIAL, LLC

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Company Name:	OAK HEALTH & REHABILITATION CENTERS, INC.
Employer identification number (EIN):	465680638
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities