401k Plan data: ANDERSON COMMUNITIES 401(K) PLAN plan

ANDERSON COMMUNITIES 401(K) PLAN 401k Plan overview

Plan Name	ANDERSON COMMUNITIES 401(K) PLAN
Plan identification number	001

ANDERSON COMMUNITIES 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.
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

ANDERSON NURSING HOME LLC has sponsored the creation of one or more 401k plans.

Company Name: ANDERSON NURSING HOME LLC

Employer identification number (EIN): 912153941

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANDERSON COMMUNITIES 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 JACOB SCHAEFER 2018-10-15 JACOB SCHAEFER 2018-10-15
001 2016-01-01 GREGORY FICEK 2017-10-16 GREGORY FICEK 2017-10-16
001 2015-01-01 ANGELA CERNA 2016-09-01 ANGELA CERNA 2016-09-01
001 2014-01-01 JACOB SCHAEFER 2015-10-14 JACOB SCHAEFER 2015-10-14
001 2013-01-01 GREGORY FICEK 2014-10-07 JACOB SCHAEFER 2014-10-08
001 2012-01-01 LARRY ANDERSONII LARRY ANDERSONII 2013-10-15
001 2011-01-01 ROB MATIKO
001 2009-01-01 ROB MATIKO

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2017-01-01	JACOB SCHAEFER	2018-10-15	JACOB SCHAEFER	2018-10-15
001	2016-01-01	GREGORY FICEK	2017-10-16	GREGORY FICEK	2017-10-16
001	2015-01-01	ANGELA CERNA	2016-09-01	ANGELA CERNA	2016-09-01
001	2014-01-01	JACOB SCHAEFER	2015-10-14	JACOB SCHAEFER	2015-10-14
001	2013-01-01	GREGORY FICEK	2014-10-07	JACOB SCHAEFER	2014-10-08
001	2012-01-01	LARRY ANDERSONII		LARRY ANDERSONII	2013-10-15
001	2011-01-01	ROB MATIKO
001	2009-01-01	ROB MATIKO

Plan Statistics for ANDERSON COMMUNITIES 401(K) PLAN

401k plan membership statisitcs for ANDERSON COMMUNITIES 401(K) PLAN

Measure Date Value
2012: ANDERSON COMMUNITIES 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 194
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 235
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 1
Total of all active and inactive participants 2012-01-01 236
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 236
Number of participants with account balances 2012-01-01 20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: ANDERSON COMMUNITIES 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 113
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 159
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 6
Total of all active and inactive participants 2011-01-01 165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 165
Number of participants with account balances 2011-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: ANDERSON COMMUNITIES 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 139
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 137
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 2
Total of all active and inactive participants 2009-01-01 139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 139
Number of participants with account balances 2009-01-01 20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: ANDERSON COMMUNITIES 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	194
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	235
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	1
Total of all active and inactive participants	2012-01-01	236
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	236
Number of participants with account balances	2012-01-01	20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: ANDERSON COMMUNITIES 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	113
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	159
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	6
Total of all active and inactive participants	2011-01-01	165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	165
Number of participants with account balances	2011-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: ANDERSON COMMUNITIES 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	139
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	137
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	2
Total of all active and inactive participants	2009-01-01	139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	139
Number of participants with account balances	2009-01-01	20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on ANDERSON COMMUNITIES 401(K) PLAN

Measure	Date	Value
2012 : ANDERSON COMMUNITIES 401(K) PLAN 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets	2012-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$0
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total transfer of assets to this plan	2012-12-31	$0
Total transfer of assets from this plan	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Expenses. Interest paid	2012-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$124,624
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$14,374
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$2,185
Expenses. Certain deemed distributions of participant loans	2012-12-31	$10,104
Value of total corrective distributions	2012-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$40,331
Value of total assets at end of year	2012-12-31	$663,511
Value of total assets at beginning of year	2012-12-31	$553,261
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$2,085
Total income from rents	2012-12-31	$0
Total interest from all sources	2012-12-31	$452
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$0
Administrative expenses professional fees incurred	2012-12-31	$0
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$50,000
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
Amount of non-exempt transactions with any party-in-interest	2012-12-31	$0
Contributions received from participants	2012-12-31	$40,214
Participant contributions at end of year	2012-12-31	$6,802
Participant contributions at beginning of year	2012-12-31	$9,871
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$117
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2012-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$0
Other income not declared elsewhere	2012-12-31	$10,000
Administrative expenses (other) incurred	2012-12-31	$0
Liabilities. Value of operating payables at beginning of year	2012-12-31	$0
Total non interest bearing cash at end of year	2012-12-31	$0
Total non interest bearing cash at beginning of year	2012-12-31	$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	2012-12-31	No
Income. Non cash contributions	2012-12-31	$0
Value of net income/loss	2012-12-31	$110,250
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$663,511
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$553,261
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2012-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2012-12-31	$0
Investment advisory and management fees	2012-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$309,529
Value of interest in pooled separate accounts at end of year	2012-12-31	$656,709
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$0
Interest on participant loans	2012-12-31	$440
Income. Interest from loans (other than to participants)	2012-12-31	$0
Interest earned on other investments	2012-12-31	$0
Income. Interest from US Government securities	2012-12-31	$0
Income. Interest from corporate debt instruments	2012-12-31	$0
Value of interest in common/collective trusts at end of year	2012-12-31	$0
Value of interest in common/collective trusts at beginning of year	2012-12-31	$165,541
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$68,320
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$68,320
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$12
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$28,674
Net investment gain/loss from pooled separate accounts	2012-12-31	$26,315
Net investment gain or loss from common/collective trusts	2012-12-31	$18,852
Net gain/loss from 103.12 investment entities	2012-12-31	$0
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	$0
Employer contributions (assets) at end of year	2012-12-31	$0
Employer contributions (assets) at beginning of year	2012-12-31	$0
Income. Dividends from preferred stock	2012-12-31	$0
Income. Dividends from common stock	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$2,185
Contract administrator fees	2012-12-31	$2,085
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$0
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
Aggregate proceeds on sale of assets	2012-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2012-12-31	$0
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	COOK & COMPANY, PLLC
Accountancy firm EIN	2012-12-31	462400269
2011 : ANDERSON COMMUNITIES 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$19,744
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$36,683
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$35,150
Expenses. Certain deemed distributions of participant loans	2011-12-31	$1,533
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$38,172
Value of total assets at end of year	2011-12-31	$553,261
Value of total assets at beginning of year	2011-12-31	$570,200
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$0
Total interest from all sources	2011-12-31	$1,724
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$5,959
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$5,959
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$58,000
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	$38,172
Participant contributions at end of year	2011-12-31	$9,871
Participant contributions at beginning of year	2011-12-31	$3,099
Other income not declared elsewhere	2011-12-31	$18
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	$-16,939
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$553,261
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$570,200
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 registered invesment companies (eg mutual funds) at end of year	2011-12-31	$309,529
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$318,748
Interest on participant loans	2011-12-31	$1,724
Value of interest in common/collective trusts at end of year	2011-12-31	$165,541
Value of interest in common/collective trusts at beginning of year	2011-12-31	$186,899
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$68,320
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$61,454
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$61,454
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-27,005
Net investment gain or loss from common/collective trusts	2011-12-31	$876
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	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$35,150
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	COOK & COMPANY, PS
Accountancy firm EIN	2011-12-31	911628362
2010 : ANDERSON COMMUNITIES 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	$109,610
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$3,814
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$2,423
Expenses. Certain deemed distributions of participant loans	2010-12-31	$1,391
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$41,848
Value of total assets at end of year	2010-12-31	$570,200
Value of total assets at beginning of year	2010-12-31	$464,404
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$0
Total interest from all sources	2010-12-31	$1,684
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$3,589
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$3,589
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$47,000
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	$41,848
Participant contributions at end of year	2010-12-31	$3,099
Participant contributions at beginning of year	2010-12-31	$4,009
Other income not declared elsewhere	2010-12-31	$135
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	$105,796
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$570,200
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$464,404
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 registered invesment companies (eg mutual funds) at end of year	2010-12-31	$318,748
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$254,282
Interest on participant loans	2010-12-31	$1,684
Value of interest in common/collective trusts at end of year	2010-12-31	$186,899
Value of interest in common/collective trusts at beginning of year	2010-12-31	$151,364
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$61,454
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$54,749
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$54,749
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$36,910
Net investment gain or loss from common/collective trusts	2010-12-31	$25,444
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	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$2,423
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	COOK & COMPANY, PS
Accountancy firm EIN	2010-12-31	911628362
2009 : ANDERSON COMMUNITIES 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

Form 5500 Responses for ANDERSON COMMUNITIES 401(K) PLAN

2012: ANDERSON COMMUNITIES 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
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
2011: ANDERSON COMMUNITIES 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: ANDERSON COMMUNITIES 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number	523451
Policy instance	1

Potentially related plans

ANDERSON COMMUNITIES, INC. 401(K) PLAN [EIN = 611294278]

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Company Name:	ANDERSON NURSING HOME LLC
Employer identification number (EIN):	912153941
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities