401k Plan data: CLAPP'S NURSING CENTER, INC. 401(K) PLAN plan

CLAPP'S NURSING CENTER, INC. 401(K) PLAN 401k Plan overview

Plan Name	CLAPP'S NURSING CENTER, INC. 401(K) PLAN
Plan identification number	001

CLAPP'S NURSING CENTER, INC. 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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

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

Company Name: CLAPPS NURSING CENTER, INC.

Employer identification number (EIN): 561117327

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLAPP'S NURSING CENTER, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 CHERYL COLEMAN
001 2016-01-01 CHERYL COLEMAN
001 2015-01-01 CHERYL COLEMAN
001 2014-01-01 CHERYL COLEMAN
001 2013-01-01 CHERYL COLEMAN
001 2012-01-01 CHERYL COLEMAN
001 2011-01-01 RILEY W. CLAPP 2012-03-09
001 2010-01-01 RILEY W. CLAPP 2011-03-01

Plan Statistics for CLAPP'S NURSING CENTER, INC. 401(K) PLAN

401k plan membership statisitcs for CLAPP'S NURSING CENTER, INC. 401(K) PLAN

Measure Date Value
2020: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 156
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 0
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 0
Number of participants with account balances 2020-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 135
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 120
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 17
Total of all active and inactive participants 2019-01-01 137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 137
Number of participants with account balances 2019-01-01 53
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 2
2018: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 108
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 113
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 8
Total of all active and inactive participants 2018-01-01 121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 121
Number of participants with account balances 2018-01-01 47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 113
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 90
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 10
Total of all active and inactive participants 2017-01-01 100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 100
Number of participants with account balances 2017-01-01 51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 5
2016: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 102
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 89
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 5
Total of all active and inactive participants 2016-01-01 94
Total participants 2016-01-01 94
Number of participants with account balances 2016-01-01 34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 1
2015: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 112
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 90
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 4
Total of all active and inactive participants 2015-01-01 94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 94
Number of participants with account balances 2015-01-01 36
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 1
2014: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 108
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 106
Number of retired or separated participants receiving benefits 2014-01-01 1
Number of other retired or separated participants entitled to future benefits 2014-01-01 1
Total of all active and inactive participants 2014-01-01 108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 108
Number of participants with account balances 2014-01-01 31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 124
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 107
Number of other retired or separated participants entitled to future benefits 2013-01-01 2
Total of all active and inactive participants 2013-01-01 109
Total participants 2013-01-01 109
Number of participants with account balances 2013-01-01 32
2012: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 124
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 105
Number of other retired or separated participants entitled to future benefits 2012-01-01 3
Total of all active and inactive participants 2012-01-01 108
Total participants 2012-01-01 108
Number of participants with account balances 2012-01-01 25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2020: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	156
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	0
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	0
Number of participants with account balances	2020-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	135
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	120
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	17
Total of all active and inactive participants	2019-01-01	137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	137
Number of participants with account balances	2019-01-01	53
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	2
2018: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	113
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	8
Total of all active and inactive participants	2018-01-01	121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	121
Number of participants with account balances	2018-01-01	47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	113
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	90
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	10
Total of all active and inactive participants	2017-01-01	100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	100
Number of participants with account balances	2017-01-01	51
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	5
2016: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	102
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	89
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	5
Total of all active and inactive participants	2016-01-01	94
Total participants	2016-01-01	94
Number of participants with account balances	2016-01-01	34
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	1
2015: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	112
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	90
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	4
Total of all active and inactive participants	2015-01-01	94
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	94
Number of participants with account balances	2015-01-01	36
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	1
2014: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	106
Number of retired or separated participants receiving benefits	2014-01-01	1
Number of other retired or separated participants entitled to future benefits	2014-01-01	1
Total of all active and inactive participants	2014-01-01	108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	108
Number of participants with account balances	2014-01-01	31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	107
Number of other retired or separated participants entitled to future benefits	2013-01-01	2
Total of all active and inactive participants	2013-01-01	109
Total participants	2013-01-01	109
Number of participants with account balances	2013-01-01	32
2012: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	105
Number of other retired or separated participants entitled to future benefits	2012-01-01	3
Total of all active and inactive participants	2012-01-01	108
Total participants	2012-01-01	108
Number of participants with account balances	2012-01-01	25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on CLAPP'S NURSING CENTER, INC. 401(K) PLAN

Measure	Date	Value
2020 : CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-03-13	$0
Total transfer of assets from this plan	2020-03-13	$671,527
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-03-13	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-03-13	$0
Total income from all sources (including contributions)	2020-03-13	$-111,919
Total loss/gain on sale of assets	2020-03-13	$0
Total of all expenses incurred	2020-03-13	$1,061
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-03-13	$162
Value of total corrective distributions	2020-03-13	$494
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-03-13	$0
Value of total assets at end of year	2020-03-13	$0
Value of total assets at beginning of year	2020-03-13	$784,507
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-03-13	$405
Total interest from all sources	2020-03-13	$170
Total dividends received (eg from common stock, registered investment company shares)	2020-03-13	$70
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-03-13	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2020-03-13	$0
Total dividends received from registered investment company shares (eg mutual funds)	2020-03-13	$70
Was this plan covered by a fidelity bond	2020-03-13	Yes
Value of fidelity bond cover	2020-03-13	$100,000
If this is an individual account plan, was there a blackout period	2020-03-13	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-03-13	$0
Were there any nonexempt tranactions with any party-in-interest	2020-03-13	No
Participant contributions at beginning of year	2020-03-13	$16,824
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-03-13	No
Value of net income/loss	2020-03-13	$-112,980
Value of net assets at end of year (total assets less liabilities)	2020-03-13	$0
Value of net assets at beginning of year (total assets less liabilities)	2020-03-13	$784,507
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-03-13	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-03-13	No
Were any leases to which the plan was party in default or uncollectible	2020-03-13	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-03-13	$767,683
Interest on participant loans	2020-03-13	$170
Income. Interest from loans (other than to participants)	2020-03-13	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-03-13	$-112,159
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-03-13	No
Was there a failure to transmit to the plan any participant contributions	2020-03-13	No
Has the plan failed to provide any benefit when due under the plan	2020-03-13	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-03-13	$162
Contract administrator fees	2020-03-13	$405
Did the plan have assets held for investment	2020-03-13	No
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	2020-03-13	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-03-13	Yes
Opinion of an independent qualified public accountant for this plan	2020-03-13	Disclaimer
Accountancy firm name	2020-03-13	BRESLOW STARLING FROST WARNER BOGER
Accountancy firm EIN	2020-03-13	560593053
2019 : CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$240,665
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$37,413
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$24,472
Value of total corrective distributions	2019-12-31	$495
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$102,500
Value of total assets at end of year	2019-12-31	$784,507
Value of total assets at beginning of year	2019-12-31	$581,255
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$12,446
Total interest from all sources	2019-12-31	$902
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$11,750
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	$11,750
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$100,000
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	$56,350
Participant contributions at end of year	2019-12-31	$16,824
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$38,104
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	$203,252
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$784,507
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$581,255
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	$767,683
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$581,255
Interest on participant loans	2019-12-31	$902
Income. Interest from loans (other than to participants)	2019-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$125,513
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	No
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	$8,046
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$24,472
Contract administrator fees	2019-12-31	$12,446
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	BRESLOW STARLING FROST WARNER BOGER
Accountancy firm EIN	2019-12-31	560593053
2018 : CLAPP'S NURSING CENTER, 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	$213
Total income from all sources (including contributions)	2018-12-31	$43,285
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$72,683
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$68,871
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$64,906
Value of total assets at end of year	2018-12-31	$581,255
Value of total assets at beginning of year	2018-12-31	$610,866
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$3,812
Total interest from all sources	2018-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$9,430
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	$9,430
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$100,000
If this is an individual account plan, was there a blackout period	2018-12-31	Yes
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	$53,604
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$213
Administrative expenses (other) incurred	2018-12-31	$805
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	$-29,398
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$581,255
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$610,653
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	$581,255
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$572,186
Interest on participant loans	2018-12-31	$0
Income. Interest from loans (other than to participants)	2018-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$20,612
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$20,612
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$18,068
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-31,051
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	$11,302
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$68,871
Contract administrator fees	2018-12-31	$3,007
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	2018-12-31	Yes
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	BRESLOW STARLING FROST WARNER BOGER
Accountancy firm EIN	2018-12-31	560593053
2017 : CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$213
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$427
Total income from all sources (including contributions)	2017-12-31	$159,082
Total of all expenses incurred	2017-12-31	$44,037
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$44,037
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$83,647
Value of total assets at end of year	2017-12-31	$610,866
Value of total assets at beginning of year	2017-12-31	$496,035
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$100,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$68,423
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2017-12-31	$738
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$213
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$427
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	$115,045
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$610,653
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$495,608
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	$572,186
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$463,101
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$20,612
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$11,929
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$11,929
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$18,068
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$21,005
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$75,435
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	$15,224
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$43,299
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	2017-12-31	No
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	BRESLOW STARLING FROST WARNER BOGER
Accountancy firm EIN	2017-12-31	560593053
2016 : CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$427
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$749
Total income from all sources (including contributions)	2016-12-31	$80,373
Total of all expenses incurred	2016-12-31	$73,145
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$73,145
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$54,520
Value of total assets at end of year	2016-12-31	$496,035
Value of total assets at beginning of year	2016-12-31	$489,129
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$100,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$45,174
Participant contributions at beginning of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$3,226
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-12-31	$1,245
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$427
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$749
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	$7,228
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$495,608
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$488,380
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	$463,101
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$477,050
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$11,929
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$8,116
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$8,116
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$21,005
Net investment gain/loss from pooled separate accounts	2016-12-31	$25,853
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	$9,346
Employer contributions (assets) at beginning of year	2016-12-31	$737
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$71,900
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	BRESLOW STARLING FROST WARNER BOGER
Accountancy firm EIN	2016-12-31	560593053
2015 : CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$749
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$1,655
Total income from all sources (including contributions)	2015-12-31	$44,869
Total of all expenses incurred	2015-12-31	$9,828
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$9,828
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$53,808
Value of total assets at end of year	2015-12-31	$489,129
Value of total assets at beginning of year	2015-12-31	$454,994
Total interest from all sources	2015-12-31	$75
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$100,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$44,740
Participant contributions at end of year	2015-12-31	$0
Participant contributions at beginning of year	2015-12-31	$1,644
Participant contributions at end of year	2015-12-31	$3,226
Participant contributions at beginning of year	2015-12-31	$1,254
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-12-31	$375
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$145
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$749
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$1,655
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	$35,041
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$488,380
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$453,339
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	$477,050
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$447,579
Interest on participant loans	2015-12-31	$19
Interest earned on other investments	2015-12-31	$56
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$8,116
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$3,524
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$3,524
Net investment gain/loss from pooled separate accounts	2015-12-31	$-9,014
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	$9,068
Employer contributions (assets) at end of year	2015-12-31	$737
Employer contributions (assets) at beginning of year	2015-12-31	$848
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$9,453
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	GOLDSMITH MOLIS & GRAY PLLC
Accountancy firm EIN	2015-12-31	463054896
2014 : CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$1,655
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$1,225
Total income from all sources (including contributions)	2014-12-31	$74,172
Total of all expenses incurred	2014-12-31	$24,421
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$24,421
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$40,893
Value of total assets at end of year	2014-12-31	$454,994
Value of total assets at beginning of year	2014-12-31	$404,813
Total interest from all sources	2014-12-31	$151
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$100,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$34,177
Participant contributions at end of year	2014-12-31	$1,644
Participant contributions at beginning of year	2014-12-31	$5,281
Participant contributions at end of year	2014-12-31	$1,254
Participant contributions at beginning of year	2014-12-31	$1,177
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2014-12-31	$621
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$145
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$145
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$1,655
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$1,225
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$49,751
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$453,339
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$403,588
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$447,579
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$394,979
Interest on participant loans	2014-12-31	$151
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$3,524
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$2,960
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$2,960
Net investment gain/loss from pooled separate accounts	2014-12-31	$33,128
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$6,716
Employer contributions (assets) at end of year	2014-12-31	$848
Employer contributions (assets) at beginning of year	2014-12-31	$271
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$23,800
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	GOLDSMITH MOLIS & GRAY PLLC
Accountancy firm EIN	2014-12-31	463054896
2013 : CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$1,225
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$594
Total income from all sources (including contributions)	2013-12-31	$106,880
Total of all expenses incurred	2013-12-31	$27,301
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$27,301
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$41,982
Value of total assets at end of year	2013-12-31	$404,813
Value of total assets at beginning of year	2013-12-31	$324,603
Total interest from all sources	2013-12-31	$171
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$100,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$35,666
Participant contributions at end of year	2013-12-31	$5,281
Participant contributions at beginning of year	2013-12-31	$5,279
Participant contributions at end of year	2013-12-31	$1,177
Participant contributions at beginning of year	2013-12-31	$1,248
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-12-31	$375
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$145
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$160
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$1,225
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$594
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$79,579
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$403,588
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$324,009
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$394,979
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$315,057
Interest on participant loans	2013-12-31	$171
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$2,960
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$2,612
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$2,612
Net investment gain/loss from pooled separate accounts	2013-12-31	$64,727
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$6,316
Employer contributions (assets) at end of year	2013-12-31	$271
Employer contributions (assets) at beginning of year	2013-12-31	$247
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$26,926
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	2013-12-31	No
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	GOLDSMITH MOLIS & GRAY PLLC
Accountancy firm EIN	2013-12-31	463054896
2012 : CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$594
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$415
Total income from all sources (including contributions)	2012-12-31	$65,409
Total of all expenses incurred	2012-12-31	$13,141
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$13,141
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$37,424
Value of total assets at end of year	2012-12-31	$324,603
Value of total assets at beginning of year	2012-12-31	$272,156
Total interest from all sources	2012-12-31	$319
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$100,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$31,279
Participant contributions at end of year	2012-12-31	$5,279
Participant contributions at beginning of year	2012-12-31	$9,130
Participant contributions at end of year	2012-12-31	$1,248
Participant contributions at beginning of year	2012-12-31	$1,174
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2012-12-31	$563
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$160
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$160
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$594
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$415
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$52,268
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$324,009
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$271,741
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$315,057
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$259,382
Interest on participant loans	2012-12-31	$319
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$2,612
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$2,062
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$2,062
Net investment gain/loss from pooled separate accounts	2012-12-31	$27,666
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$6,145
Employer contributions (assets) at end of year	2012-12-31	$247
Employer contributions (assets) at beginning of year	2012-12-31	$248
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$12,578
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	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	GOLDSMITH MOLIS & GRAY PLLC
Accountancy firm EIN	2012-12-31	463054896

Form 5500 Responses for CLAPP'S NURSING CENTER, INC. 401(K) PLAN

2020: CLAPP'S NURSING CENTER, INC. 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	Yes
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: CLAPP'S NURSING CENTER, INC. 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: CLAPP'S NURSING CENTER, 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	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 – 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: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
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: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: CLAPP'S NURSING CENTER, INC. 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )

Policy contract number

E64 0681

Policy instance

Insurance contract or identification number	E64 0681
Number of Individuals Covered	51
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $1,968
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?	No
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 $1,673
Insurance broker organization code?	3

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )

Policy contract number

600871

Policy instance

Insurance contract or identification number	600871
Number of Individuals Covered	51
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $3,231
Commission paid to Insurance Broker	USD $2,746
Insurance broker organization code?	3
Insurance broker name	CONSOLIDATED PLANNING

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )

Policy contract number

600871

Policy instance

Insurance contract or identification number	600871
Number of Individuals Covered	32
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $2,401
Commission paid to Insurance Broker	USD $2,401
Insurance broker organization code?	3
Insurance broker name	GREGORY CURRENT

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )

Policy contract number

600871

Policy instance

Insurance contract or identification number	600871
Number of Individuals Covered	31
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $2,515
Commission paid to Insurance Broker	USD $438
Insurance broker organization code?	3
Insurance broker name	GREGORY CURRENT

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )

Policy contract number

600871

Policy instance

Insurance contract or identification number	600871
Number of Individuals Covered	32
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $2,146
Commission paid to Insurance Broker	USD $2,146
Insurance broker organization code?	3
Insurance broker name	CONSOLIDATED PLANNING

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )

Policy contract number

600871

Policy instance

Insurance contract or identification number	600871
Number of Individuals Covered	29
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31

Potentially related plans

CLAPP'S NURSING HOME, INC. RETIREMENT PLAN AND TRUST [EIN = 560685728]

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Company Name:	CLAPPS NURSING CENTER, INC.
Employer identification number (EIN):	561117327
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities