401k Plan data: THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN plan

THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN 401k Plan overview

Plan Name	THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN
Plan identification number	001

THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV 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.

401k Sponsoring company profile

NORTHWEST COUNTRY PLACE, INC. has sponsored the creation of one or more 401k plans.

Company Name: NORTHWEST COUNTRY PLACE, INC.

Employer identification number (EIN): 931114329

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

Additional information about NORTHWEST COUNTRY PLACE, INC.

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division

Incorporation Date: 1993-05-21

Company Identification Number: 34723783

Legal Registered Office Address: 5300 MEADOWS ROAD STE 200

LAKE OSWEGO
United States of America (USA)
97035

More information about NORTHWEST COUNTRY PLACE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 PHYLLIS COVIELLO
001 2013-01-01 PHYLLIS COVIELLO
001 2012-01-01 THOMAS A. ARMAGNO
001 2011-01-01 THOMAS A. ARMAGNO
001 2010-01-01 PENSION PLANNERS NORTHWEST
001 2009-01-01 THOMAS A. ARMAGNO
001 2009-01-01 THOMAS A. ARMAGNO
001 2009-01-01 THOMAS A. ARMAGNO

Plan id#	Filing Submission Date	Name of Administrator
001	2014-01-01	PHYLLIS COVIELLO
001	2013-01-01	PHYLLIS COVIELLO
001	2012-01-01	THOMAS A. ARMAGNO
001	2011-01-01	THOMAS A. ARMAGNO
001	2010-01-01	PENSION PLANNERS NORTHWEST
001	2009-01-01	THOMAS A. ARMAGNO
001	2009-01-01	THOMAS A. ARMAGNO
001	2009-01-01	THOMAS A. ARMAGNO

Plan Statistics for THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN

401k plan membership statisitcs for THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN

Measure Date Value
2014: THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 191
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 221
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 180
Number of retired or separated participants receiving benefits 2013-01-01 1
Number of other retired or separated participants entitled to future benefits 2013-01-01 12
Total of all active and inactive participants 2013-01-01 193
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 193
Number of participants with account balances 2013-01-01 54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 236
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 215
Number of retired or separated participants receiving benefits 2012-01-01 1
Number of other retired or separated participants entitled to future benefits 2012-01-01 4
Total of all active and inactive participants 2012-01-01 220
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 220
Number of participants with account balances 2012-01-01 65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 246
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 231
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 4
Total of all active and inactive participants 2011-01-01 236
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 236
Number of participants with account balances 2011-01-01 66
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 258
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 241
Number of retired or separated participants receiving benefits 2010-01-01 1
Number of other retired or separated participants entitled to future benefits 2010-01-01 2
Total of all active and inactive participants 2010-01-01 244
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 244
Number of participants with account balances 2010-01-01 67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 270
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 252
Number of retired or separated participants receiving benefits 2009-01-01 1
Number of other retired or separated participants entitled to future benefits 2009-01-01 2
Total of all active and inactive participants 2009-01-01 255
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 255
Number of participants with account balances 2009-01-01 77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2014: THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	191
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	221
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	180
Number of retired or separated participants receiving benefits	2013-01-01	1
Number of other retired or separated participants entitled to future benefits	2013-01-01	12
Total of all active and inactive participants	2013-01-01	193
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	193
Number of participants with account balances	2013-01-01	54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	236
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	215
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	4
Total of all active and inactive participants	2012-01-01	220
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	220
Number of participants with account balances	2012-01-01	65
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	246
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	231
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	4
Total of all active and inactive participants	2011-01-01	236
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	236
Number of participants with account balances	2011-01-01	66
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	258
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	241
Number of retired or separated participants receiving benefits	2010-01-01	1
Number of other retired or separated participants entitled to future benefits	2010-01-01	2
Total of all active and inactive participants	2010-01-01	244
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	244
Number of participants with account balances	2010-01-01	67
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	270
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	252
Number of retired or separated participants receiving benefits	2009-01-01	1
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	255
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	255
Number of participants with account balances	2009-01-01	77
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN

Measure	Date	Value
2014 : THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-11-30	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-11-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-11-30	$0
Total income from all sources (including contributions)	2014-11-30	$89,030
Total loss/gain on sale of assets	2014-11-30	$0
Total of all expenses incurred	2014-11-30	$1,311,172
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-11-30	$1,310,207
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-11-30	$34,540
Value of total assets at end of year	2014-11-30	$0
Value of total assets at beginning of year	2014-11-30	$1,222,142
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-11-30	$965
Total interest from all sources	2014-11-30	$999
Total dividends received (eg from common stock, registered investment company shares)	2014-11-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-11-30	No
Was this plan covered by a fidelity bond	2014-11-30	Yes
Value of fidelity bond cover	2014-11-30	$500,000
If this is an individual account plan, was there a blackout period	2014-11-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-11-30	$3,833
Were there any nonexempt tranactions with any party-in-interest	2014-11-30	No
Contributions received from participants	2014-11-30	$34,519
Participant contributions at end of year	2014-11-30	$0
Participant contributions at beginning of year	2014-11-30	$28,498
Income. Received or receivable in cash from other sources (including rollovers)	2014-11-30	$21
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-11-30	No
Value of net income/loss	2014-11-30	$-1,222,142
Value of net assets at end of year (total assets less liabilities)	2014-11-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2014-11-30	$1,222,142
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-11-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-11-30	No
Were any leases to which the plan was party in default or uncollectible	2014-11-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-11-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-11-30	$1,193,644
Interest on participant loans	2014-11-30	$999
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-11-30	$53,491
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-11-30	No
Was there a failure to transmit to the plan any participant contributions	2014-11-30	Yes
Has the plan failed to provide any benefit when due under the plan	2014-11-30	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-11-30	$1,310,207
Contract administrator fees	2014-11-30	$965
Did the plan have assets held for investment	2014-11-30	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	2014-11-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-11-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-11-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-11-30	Disclaimer
Accountancy firm name	2014-11-30	DOWSETT FOGG & DOLER, P.C.
Accountancy firm EIN	2014-11-30	931045126
2013 : THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$272,802
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$122,785
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$122,617
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$85,490
Value of total assets at end of year	2013-12-31	$1,222,142
Value of total assets at beginning of year	2013-12-31	$1,072,125
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$168
Total interest from all sources	2013-12-31	$1,160
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
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	$500,000
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	$85,490
Participant contributions at end of year	2013-12-31	$28,498
Participant contributions at beginning of year	2013-12-31	$13,166
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	$150,017
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$1,222,142
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$1,072,125
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	$1,193,644
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$1,058,959
Interest on participant loans	2013-12-31	$1,160
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$186,152
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	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$122,617
Contract administrator fees	2013-12-31	$168
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	DOWSETT FOGG & DOLER, P.C.
Accountancy firm EIN	2013-12-31	931045126
2012 : THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	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
Total income from all sources (including contributions)	2012-12-31	$226,612
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$66,251
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$61,224
Value of total corrective distributions	2012-12-31	$4,821
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$101,088
Value of total assets at end of year	2012-12-31	$1,072,125
Value of total assets at beginning of year	2012-12-31	$911,764
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$206
Total interest from all sources	2012-12-31	$540
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
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
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	$101,088
Participant contributions at end of year	2012-12-31	$13,166
Participant contributions at beginning of year	2012-12-31	$11,279
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	$160,361
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$1,072,125
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$911,764
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	$1,058,959
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$900,485
Interest on participant loans	2012-12-31	$540
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$124,984
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$61,224
Contract administrator fees	2012-12-31	$206
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	DOWSETT FOGG & DOLER, P.C.
Accountancy firm EIN	2012-12-31	931045126
2011 : THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV 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	$80,304
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$134,074
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$133,765
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$102,138
Value of total assets at end of year	2011-12-31	$911,764
Value of total assets at beginning of year	2011-12-31	$965,534
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$309
Total interest from all sources	2011-12-31	$762
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
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	$500,000
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	$102,138
Participant contributions at end of year	2011-12-31	$11,279
Participant contributions at beginning of year	2011-12-31	$20,772
Administrative expenses (other) incurred	2011-12-31	$79
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	$-53,770
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$911,764
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$965,534
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	$900,485
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$944,762
Interest on participant loans	2011-12-31	$762
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-22,596
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	No
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	$133,765
Contract administrator fees	2011-12-31	$230
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	DOWSETT FOGG & DOLER, P.C.
Accountancy firm EIN	2011-12-31	931045126
2010 : THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV 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	$215,942
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$55,388
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$55,139
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$100,725
Value of total assets at end of year	2010-12-31	$965,534
Value of total assets at beginning of year	2010-12-31	$804,980
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$249
Total interest from all sources	2010-12-31	$799
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	$500,000
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	$100,725
Participant contributions at end of year	2010-12-31	$20,772
Participant contributions at beginning of year	2010-12-31	$6,851
Participant contributions at end of year	2010-12-31	$0
Participant contributions at beginning of year	2010-12-31	$0
Total non interest bearing cash at end of year	2010-12-31	$0
Total non interest bearing cash at beginning of year	2010-12-31	$1
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	$160,554
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$965,534
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$804,980
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	$944,762
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$798,128
Interest on participant loans	2010-12-31	$793
Interest earned on other investments	2010-12-31	$6
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$114,418
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	$55,139
Contract administrator fees	2010-12-31	$249
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	DOWSETT FOGG & DOLER, P.C.
Accountancy firm EIN	2010-12-31	931045126
2009 : THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV 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 THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN

2014: THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
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 benefit arrangement – Insurance	Yes
2011: THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV 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 – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: THE NORTHWEST COUNTRY PLACE INC. RET SAL SAV PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
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 – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	NORTHWEST COUNTRY PLACE, INC.
Employer identification number (EIN):	931114329
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	Oregon Secretary of State Corporations Division
Incorporation Date:	1993-05-21
Company Identification Number:	34723783
Legal Registered Office Address:	5300 MEADOWS ROAD STE 200 LAKE OSWEGO United States of America (USA) 97035