401k Plan data: JOSEPHINE SUNSET HOME TAX DEFERRED ANNUITY PLAN plan

JOSEPHINE SUNSET HOME TAX DEFERRED ANNUITY PLAN 401k Plan overview

Plan Name	JOSEPHINE SUNSET HOME TAX DEFERRED ANNUITY PLAN
Plan identification number	001

JOSEPHINE SUNSET HOME TAX DEFERRED ANNUITY PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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(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.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

JOSEPHINE CARING COMMUNITY has sponsored the creation of one or more 401k plans.

Company Name: JOSEPHINE CARING COMMUNITY

Employer identification number (EIN): 910570870

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

Additional information about JOSEPHINE CARING COMMUNITY

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 1925-12-18

Company Identification Number: 600089377

Legal Registered Office Address: 9901 272ND PL NW

STANWOOD
United States of America (USA)
982927449

More information about JOSEPHINE CARING COMMUNITY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOSEPHINE SUNSET HOME TAX DEFERRED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2009-05-01 TERRY ROBERTSON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2009-05-01	TERRY ROBERTSON

Form 5500 Responses for JOSEPHINE SUNSET HOME TAX DEFERRED ANNUITY PLAN

2009: JOSEPHINE SUNSET HOME TAX DEFERRED ANNUITY PLAN 2009 form 5500 responses
2009-05-01	Type of plan entity	Single employer plan
2009-05-01	Submission has been amended	No
2009-05-01	This submission is the final filing	No
2009-05-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2009-05-01	Plan is a collectively bargained plan	No
2009-05-01	Plan funding arrangement – Insurance	Yes
2009-05-01	Plan funding arrangement – Trust	Yes
2009-05-01	Plan benefit arrangement – Insurance	Yes
2009-05-01	Plan benefit arrangement - Trust	Yes

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Company Name:	JOSEPHINE CARING COMMUNITY
Employer identification number (EIN):	910570870
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	1925-12-18
Company Identification Number:	600089377
Legal Registered Office Address:	9901 272ND PL NW STANWOOD United States of America (USA) 982927449