LEGACY SENIOR SERVICES has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan WAUKESHA SPRINGS HEALTH & REHABILITATION CENTER 401(K) PLAN
| Measure | Date | Value |
|---|
| 2017 : WAUKESHA SPRINGS HEALTH & REHABILITATION CENTER 401(K) PLAN 2017 401k financial data |
|---|
| Total income from all sources (including contributions) | 2017-12-31 | $177,932 |
| Total of all expenses incurred | 2017-12-31 | $1,466,113 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $1,463,489 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $13,588 |
| Value of total assets at end of year | 2017-12-31 | $0 |
| Value of total assets at beginning of year | 2017-12-31 | $1,288,181 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $2,624 |
| Total interest from all sources | 2017-12-31 | $940 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | Yes |
| Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan | 2017-12-31 | $0 |
| Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
| Value of fidelity bond cover | 2017-12-31 | $500,000 |
| 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 | $14,132 |
| Participant contributions at end of year | 2017-12-31 | $0 |
| Participant contributions at beginning of year | 2017-12-31 | $13,629 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Value of net income/loss | 2017-12-31 | $-1,288,181 |
| Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $0 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $1,288,181 |
| 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 | $2,624 |
| Value of interest in pooled separate accounts at end of year | 2017-12-31 | $0 |
| Value of interest in pooled separate accounts at beginning of year | 2017-12-31 | $1,261,561 |
| Interest on participant loans | 2017-12-31 | $862 |
| Interest earned on other investments | 2017-12-31 | $78 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2017-12-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2017-12-31 | $8,395 |
| Net investment gain/loss from pooled separate accounts | 2017-12-31 | $163,404 |
| 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 | $-544 |
| Employer contributions (assets) at end of year | 2017-12-31 | $0 |
| Employer contributions (assets) at beginning of year | 2017-12-31 | $4,596 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-12-31 | $1,463,489 |
| 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 | Yes |
| 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 | BETTS & HAYES, LTD. |
| Accountancy firm EIN | 2017-12-31 | 411619880 |
| 2016 : WAUKESHA SPRINGS HEALTH & REHABILITATION CENTER 401(K) PLAN 2016 401k financial data |
|---|
| Total income from all sources (including contributions) | 2016-12-31 | $156,584 |
| Total of all expenses incurred | 2016-12-31 | $127,368 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $125,913 |
| Expenses. Certain deemed distributions of participant loans | 2016-12-31 | $1,027 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $57,021 |
| Value of total assets at end of year | 2016-12-31 | $1,288,181 |
| Value of total assets at beginning of year | 2016-12-31 | $1,258,965 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $428 |
| Total interest from all sources | 2016-12-31 | $1,081 |
| 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 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2016-12-31 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2016-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Contributions received from participants | 2016-12-31 | $48,676 |
| Participant contributions at end of year | 2016-12-31 | $13,629 |
| Participant contributions at beginning of year | 2016-12-31 | $25,672 |
| Participant contributions at beginning of year | 2016-12-31 | $4,483 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2016-12-31 | $3,749 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-12-31 | $626 |
| Other income not declared elsewhere | 2016-12-31 | $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 | 2016-12-31 | No |
| Value of net income/loss | 2016-12-31 | $29,216 |
| Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $1,288,181 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $1,258,965 |
| 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 | $428 |
| Value of interest in pooled separate accounts at end of year | 2016-12-31 | $1,261,561 |
| Value of interest in pooled separate accounts at beginning of year | 2016-12-31 | $1,184,623 |
| Interest on participant loans | 2016-12-31 | $1,040 |
| Interest earned on other investments | 2016-12-31 | $41 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-12-31 | $24,202 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-12-31 | $24,202 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2016-12-31 | $8,395 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2016-12-31 | $1,461 |
| Net investment gain/loss from pooled separate accounts | 2016-12-31 | $98,482 |
| 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 | $4,596 |
| Employer contributions (assets) at end of year | 2016-12-31 | $4,596 |
| Employer contributions (assets) at beginning of year | 2016-12-31 | $17,898 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-12-31 | $125,913 |
| 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 | BETTS & HAYES, LTD. |
| Accountancy firm EIN | 2016-12-31 | 411619880 |
| 2015 : WAUKESHA SPRINGS HEALTH & REHABILITATION CENTER 401(K) PLAN 2015 401k financial data |
|---|
| Total income from all sources (including contributions) | 2015-12-31 | $109,283 |
| Total of all expenses incurred | 2015-12-31 | $136,901 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $134,666 |
| Expenses. Certain deemed distributions of participant loans | 2015-12-31 | $214 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $80,911 |
| Value of total assets at end of year | 2015-12-31 | $1,258,965 |
| Value of total assets at beginning of year | 2015-12-31 | $1,286,583 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $2,021 |
| Total interest from all sources | 2015-12-31 | $4,919 |
| 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 | $500,000 |
| 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 | $63,013 |
| Participant contributions at end of year | 2015-12-31 | $25,672 |
| Participant contributions at beginning of year | 2015-12-31 | $37,674 |
| Participant contributions at end of year | 2015-12-31 | $4,483 |
| Participant contributions at beginning of year | 2015-12-31 | $1,953 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-12-31 | $626 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-12-31 | $790 |
| 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 | $-27,618 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $1,258,965 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $1,286,583 |
| 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 |
| Investment advisory and management fees | 2015-12-31 | $2,021 |
| Value of interest in pooled separate accounts at end of year | 2015-12-31 | $1,184,623 |
| Value of interest in pooled separate accounts at beginning of year | 2015-12-31 | $1,065,740 |
| Interest on participant loans | 2015-12-31 | $1,713 |
| Interest earned on other investments | 2015-12-31 | $3,206 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-12-31 | $24,202 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2015-12-31 | $1,461 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2015-12-31 | $164,969 |
| Net investment gain/loss from pooled separate accounts | 2015-12-31 | $23,453 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-12-31 | Yes |
| Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
| Contributions received in cash from employer | 2015-12-31 | $17,898 |
| Employer contributions (assets) at end of year | 2015-12-31 | $17,898 |
| Employer contributions (assets) at beginning of year | 2015-12-31 | $15,457 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-12-31 | $134,666 |
| 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 | BETTS & HAYES, LTD. |
| Accountancy firm EIN | 2015-12-31 | 411619880 |
| 2014 : WAUKESHA SPRINGS HEALTH & REHABILITATION CENTER 401(K) PLAN 2014 401k financial data |
|---|
| Total income from all sources (including contributions) | 2014-12-31 | $144,023 |
| Total of all expenses incurred | 2014-12-31 | $83,670 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $81,590 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $67,342 |
| Value of total assets at end of year | 2014-12-31 | $1,286,583 |
| Value of total assets at beginning of year | 2014-12-31 | $1,226,230 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $2,080 |
| Total interest from all sources | 2014-12-31 | $7,105 |
| 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 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2014-12-31 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2014-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2014-12-31 | No |
| Contributions received from participants | 2014-12-31 | $51,885 |
| Participant contributions at end of year | 2014-12-31 | $37,674 |
| Participant contributions at beginning of year | 2014-12-31 | $32,355 |
| Participant contributions at end of year | 2014-12-31 | $1,953 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-12-31 | $790 |
| 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 | $60,353 |
| Value of net assets at end of year (total assets less liabilities) | 2014-12-31 | $1,286,583 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-12-31 | $1,226,230 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-12-31 | No |
| Investment advisory and management fees | 2014-12-31 | $2,080 |
| Value of interest in pooled separate accounts at end of year | 2014-12-31 | $1,065,740 |
| Value of interest in pooled separate accounts at beginning of year | 2014-12-31 | $1,019,758 |
| Interest on participant loans | 2014-12-31 | $2,317 |
| Interest earned on other investments | 2014-12-31 | $4,788 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2014-12-31 | $164,969 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2014-12-31 | $156,311 |
| Net investment gain/loss from pooled separate accounts | 2014-12-31 | $69,576 |
| 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 | $15,457 |
| Employer contributions (assets) at end of year | 2014-12-31 | $15,457 |
| Employer contributions (assets) at beginning of year | 2014-12-31 | $17,806 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-12-31 | $81,590 |
| 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 | BETTS & HAYES, LTD. |
| Accountancy firm EIN | 2014-12-31 | 411619880 |
| 2013 : WAUKESHA SPRINGS HEALTH & REHABILITATION CENTER 401(K) PLAN 2013 401k financial data |
|---|
| Total income from all sources (including contributions) | 2013-12-31 | $268,522 |
| Total of all expenses incurred | 2013-12-31 | $114,931 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $112,881 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $73,630 |
| Value of total assets at end of year | 2013-12-31 | $1,226,230 |
| Value of total assets at beginning of year | 2013-12-31 | $1,072,639 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $2,050 |
| Total interest from all sources | 2013-12-31 | $6,188 |
| 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 | $110,000 |
| If this is an individual account plan, was there a blackout period | 2013-12-31 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2013-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
| Contributions received from participants | 2013-12-31 | $55,824 |
| Participant contributions at end of year | 2013-12-31 | $32,355 |
| Participant contributions at beginning of year | 2013-12-31 | $42,035 |
| Participant contributions at beginning of year | 2013-12-31 | $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 | 2013-12-31 | No |
| Value of net income/loss | 2013-12-31 | $153,591 |
| Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $1,226,230 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $1,072,639 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
| Investment advisory and management fees | 2013-12-31 | $2,050 |
| Value of interest in pooled separate accounts at end of year | 2013-12-31 | $1,019,758 |
| Value of interest in pooled separate accounts at beginning of year | 2013-12-31 | $857,725 |
| Interest on participant loans | 2013-12-31 | $1,719 |
| Interest earned on other investments | 2013-12-31 | $4,469 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2013-12-31 | $156,311 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2013-12-31 | $152,389 |
| Net investment gain/loss from pooled separate accounts | 2013-12-31 | $188,704 |
| 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 | $17,806 |
| Employer contributions (assets) at end of year | 2013-12-31 | $17,806 |
| Employer contributions (assets) at beginning of year | 2013-12-31 | $20,490 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-12-31 | $112,881 |
| 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 | BETTS & HAYES, LTD. |
| Accountancy firm EIN | 2013-12-31 | 411619880 |
| 2012 : WAUKESHA SPRINGS HEALTH & REHABILITATION CENTER 401(K) PLAN 2012 401k financial data |
|---|
| Total income from all sources (including contributions) | 2012-12-31 | $213,219 |
| Total of all expenses incurred | 2012-12-31 | $106,850 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $103,978 |
| Value of total corrective distributions | 2012-12-31 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $105,822 |
| Value of total assets at end of year | 2012-12-31 | $1,072,639 |
| Value of total assets at beginning of year | 2012-12-31 | $966,270 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $2,872 |
| Total interest from all sources | 2012-12-31 | $6,438 |
| 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 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2012-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
| Contributions received from participants | 2012-12-31 | $59,644 |
| Participant contributions at end of year | 2012-12-31 | $42,035 |
| Participant contributions at beginning of year | 2012-12-31 | $35,576 |
| Participant contributions at end of year | 2012-12-31 | $0 |
| Participant contributions at beginning of year | 2012-12-31 | $5,095 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2012-12-31 | $25,688 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-12-31 | $0 |
| Other income not declared elsewhere | 2012-12-31 | $960 |
| 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 | $106,369 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $1,072,639 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $966,270 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Investment advisory and management fees | 2012-12-31 | $2,872 |
| Value of interest in pooled separate accounts at end of year | 2012-12-31 | $857,725 |
| Value of interest in pooled separate accounts at beginning of year | 2012-12-31 | $798,730 |
| Interest on participant loans | 2012-12-31 | $2,358 |
| Interest earned on other investments | 2012-12-31 | $4,080 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2012-12-31 | $152,389 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2012-12-31 | $121,666 |
| Net investment gain/loss from pooled separate accounts | 2012-12-31 | $99,999 |
| 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 | Yes |
| 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 | $20,490 |
| Employer contributions (assets) at end of year | 2012-12-31 | $20,490 |
| Employer contributions (assets) at beginning of year | 2012-12-31 | $5,203 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-12-31 | $103,978 |
| 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 | BETTS & HAYES, LTD. |
| Accountancy firm EIN | 2012-12-31 | 411619880 |
| 2011 : WAUKESHA SPRINGS HEALTH & REHABILITATION CENTER 401(K) PLAN 2011 401k financial data |
|---|
| Total income from all sources (including contributions) | 2011-12-31 | $72,907 |
| Total of all expenses incurred | 2011-12-31 | $45,342 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $41,771 |
| Value of total corrective distributions | 2011-12-31 | $231 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $82,387 |
| Value of total assets at end of year | 2011-12-31 | $966,270 |
| Value of total assets at beginning of year | 2011-12-31 | $938,705 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $3,340 |
| Total interest from all sources | 2011-12-31 | $4,856 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-12-31 | No |
| Was this plan covered by a fidelity bond | 2011-12-31 | Yes |
| Value of fidelity bond cover | 2011-12-31 | $100,000 |
| If this is an individual account plan, was there a blackout period | 2011-12-31 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2011-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
| Contributions received from participants | 2011-12-31 | $77,021 |
| Participant contributions at end of year | 2011-12-31 | $35,576 |
| Participant contributions at beginning of year | 2011-12-31 | $16,030 |
| Participant contributions at end of year | 2011-12-31 | $5,095 |
| Participant contributions at beginning of year | 2011-12-31 | $5,116 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2011-12-31 | $163 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-12-31 | $0 |
| Other income not declared elsewhere | 2011-12-31 | $447 |
| Total non interest bearing cash at beginning of year | 2011-12-31 | $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 | 2011-12-31 | No |
| Value of net income/loss | 2011-12-31 | $27,565 |
| Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $966,270 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $938,705 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
| Value of interest in pooled separate accounts at end of year | 2011-12-31 | $798,730 |
| Value of interest in pooled separate accounts at beginning of year | 2011-12-31 | $791,357 |
| Interest on participant loans | 2011-12-31 | $1,502 |
| Interest earned on other investments | 2011-12-31 | $3,354 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2011-12-31 | $121,666 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2011-12-31 | $104,582 |
| Net investment gain/loss from pooled separate accounts | 2011-12-31 | $-14,783 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-12-31 | Yes |
| Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | Yes |
| Contributions received in cash from employer | 2011-12-31 | $5,203 |
| Employer contributions (assets) at end of year | 2011-12-31 | $5,203 |
| Employer contributions (assets) at beginning of year | 2011-12-31 | $21,620 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-12-31 | $41,771 |
| Contract administrator fees | 2011-12-31 | $3,340 |
| Did the plan have assets held for investment | 2011-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Disclaimer |
| Accountancy firm name | 2011-12-31 | BETTS & HAYES, LTD. |
| Accountancy firm EIN | 2011-12-31 | 411619880 |
| 2010 : WAUKESHA SPRINGS HEALTH & REHABILITATION CENTER 401(K) PLAN 2010 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2010-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $0 |
| Total income from all sources (including contributions) | 2010-12-31 | $208,358 |
| Total loss/gain on sale of assets | 2010-12-31 | $0 |
| Total of all expenses incurred | 2010-12-31 | $35,427 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $33,687 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $101,946 |
| Value of total assets at end of year | 2010-12-31 | $938,705 |
| Value of total assets at beginning of year | 2010-12-31 | $765,774 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $1,740 |
| Total interest from all sources | 2010-12-31 | $4,024 |
| Total dividends received (eg from common stock, registered investment company shares) | 2010-12-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
| Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
| Value of fidelity bond cover | 2010-12-31 | $75,000 |
| If this is an individual account plan, was there a blackout period | 2010-12-31 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2010-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Contributions received from participants | 2010-12-31 | $80,326 |
| Participant contributions at end of year | 2010-12-31 | $16,030 |
| Participant contributions at beginning of year | 2010-12-31 | $13,960 |
| Participant contributions at end of year | 2010-12-31 | $5,116 |
| Participant contributions at beginning of year | 2010-12-31 | $7,200 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $131 |
| Other income not declared elsewhere | 2010-12-31 | $87 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Value of net income/loss | 2010-12-31 | $172,931 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $938,705 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $765,774 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Value of interest in pooled separate accounts at end of year | 2010-12-31 | $791,357 |
| Value of interest in pooled separate accounts at beginning of year | 2010-12-31 | $620,070 |
| Interest on participant loans | 2010-12-31 | $764 |
| Interest earned on other investments | 2010-12-31 | $3,260 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2010-12-31 | $104,582 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2010-12-31 | $103,338 |
| Net investment gain/loss from pooled separate accounts | 2010-12-31 | $102,301 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | Yes |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Contributions received in cash from employer | 2010-12-31 | $21,620 |
| Employer contributions (assets) at end of year | 2010-12-31 | $21,620 |
| Employer contributions (assets) at beginning of year | 2010-12-31 | $21,075 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-12-31 | $33,687 |
| Contract administrator fees | 2010-12-31 | $1,740 |
| Did the plan have assets held for investment | 2010-12-31 | 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 | 2010-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Disclaimer |
| Accountancy firm name | 2010-12-31 | BETTS & HAYES, LTD. |
| Accountancy firm EIN | 2010-12-31 | 411619880 |
| 2009 : WAUKESHA SPRINGS HEALTH & REHABILITATION CENTER 401(K) PLAN 2009 401k financial data |
|---|
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2009-12-31 | $0 |
