401k Plan data: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN plan

THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 401k Plan overview

Plan Name	THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN
Plan identification number	002

THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) 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(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock 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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

ODD FELLOWS HOME OF CA has sponsored the creation of one or more 401k plans.

Company Name: ODD FELLOWS HOME OF CA

Employer identification number (EIN): 941251113

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 JOSH BLACKSON 2023-10-12
002 2021-01-01 JOSH BLACKSON 2022-09-26
002 2020-01-01 JOSH BLACKSON 2021-09-03
002 2019-01-01 JOSH BLACKSON 2020-09-24
002 2018-01-01 JOSH BLACKSON 2019-10-10
002 2017-01-01
002 2016-01-01
002 2015-01-01
002 2014-01-01 BRIAN MCLEMORE
002 2013-01-01 BRIAN MCLEMORE
002 2012-01-01 BRIAN MCLEMORE
002 2011-01-01 BRIAN MCLEMORE
002 2009-01-01 BRIAN MCLEMORE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2022-01-01	JOSH BLACKSON	2023-10-12
002	2021-01-01	JOSH BLACKSON	2022-09-26
002	2020-01-01	JOSH BLACKSON	2021-09-03
002	2019-01-01	JOSH BLACKSON	2020-09-24
002	2018-01-01	JOSH BLACKSON	2019-10-10
002	2017-01-01
002	2016-01-01
002	2015-01-01
002	2014-01-01	BRIAN MCLEMORE
002	2013-01-01	BRIAN MCLEMORE
002	2012-01-01	BRIAN MCLEMORE
002	2011-01-01	BRIAN MCLEMORE
002	2009-01-01	BRIAN MCLEMORE

Plan Statistics for THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN

401k plan membership statisitcs for THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN

Measure Date Value
2022: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 638
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 504
Number of retired or separated participants receiving benefits 2022-01-01 38
Number of other retired or separated participants entitled to future benefits 2022-01-01 111
Total of all active and inactive participants 2022-01-01 653
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 653
Number of participants with account balances 2022-01-01 385
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 620
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 514
Number of retired or separated participants receiving benefits 2021-01-01 32
Number of other retired or separated participants entitled to future benefits 2021-01-01 92
Total of all active and inactive participants 2021-01-01 638
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 638
Number of participants with account balances 2021-01-01 358
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 667
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 521
Number of retired or separated participants receiving benefits 2020-01-01 23
Number of other retired or separated participants entitled to future benefits 2020-01-01 76
Total of all active and inactive participants 2020-01-01 620
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 620
Number of participants with account balances 2020-01-01 336
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 623
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 529
Number of retired or separated participants receiving benefits 2019-01-01 38
Number of other retired or separated participants entitled to future benefits 2019-01-01 100
Total of all active and inactive participants 2019-01-01 667
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 667
Number of participants with account balances 2019-01-01 379
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 587
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 498
Number of retired or separated participants receiving benefits 2018-01-01 33
Number of other retired or separated participants entitled to future benefits 2018-01-01 92
Total of all active and inactive participants 2018-01-01 623
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 623
Number of participants with account balances 2018-01-01 318
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 562
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 477
Number of retired or separated participants receiving benefits 2017-01-01 30
Number of other retired or separated participants entitled to future benefits 2017-01-01 80
Total of all active and inactive participants 2017-01-01 587
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 587
Number of participants with account balances 2017-01-01 303
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 606
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 471
Number of retired or separated participants receiving benefits 2016-01-01 23
Number of other retired or separated participants entitled to future benefits 2016-01-01 68
Total of all active and inactive participants 2016-01-01 562
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 562
Number of participants with account balances 2016-01-01 250
2015: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 590
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 482
Number of retired or separated participants receiving benefits 2015-01-01 17
Number of other retired or separated participants entitled to future benefits 2015-01-01 107
Total of all active and inactive participants 2015-01-01 606
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 606
Number of participants with account balances 2015-01-01 277
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 9
2014: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 684
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 481
Number of retired or separated participants receiving benefits 2014-01-01 4
Number of other retired or separated participants entitled to future benefits 2014-01-01 105
Total of all active and inactive participants 2014-01-01 590
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 590
Number of participants with account balances 2014-01-01 264
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 4
2013: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 566
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 592
Number of retired or separated participants receiving benefits 2013-01-01 8
Number of other retired or separated participants entitled to future benefits 2013-01-01 84
Total of all active and inactive participants 2013-01-01 684
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 684
Number of participants with account balances 2013-01-01 263
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 562
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 468
Number of retired or separated participants receiving benefits 2012-01-01 3
Number of other retired or separated participants entitled to future benefits 2012-01-01 95
Total of all active and inactive participants 2012-01-01 566
Total participants 2012-01-01 566
Number of participants with account balances 2012-01-01 250
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 6
2011: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 490
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 473
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 89
Total of all active and inactive participants 2011-01-01 562
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 562
Number of participants with account balances 2011-01-01 254
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 3
2009: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 555
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 461
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 89
Total of all active and inactive participants 2009-01-01 550
Total participants 2009-01-01 550
Number of participants with account balances 2009-01-01 149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 4

Measure	Date	Value
2022: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	638
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	504
Number of retired or separated participants receiving benefits	2022-01-01	38
Number of other retired or separated participants entitled to future benefits	2022-01-01	111
Total of all active and inactive participants	2022-01-01	653
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	653
Number of participants with account balances	2022-01-01	385
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	620
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	514
Number of retired or separated participants receiving benefits	2021-01-01	32
Number of other retired or separated participants entitled to future benefits	2021-01-01	92
Total of all active and inactive participants	2021-01-01	638
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	638
Number of participants with account balances	2021-01-01	358
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	667
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	521
Number of retired or separated participants receiving benefits	2020-01-01	23
Number of other retired or separated participants entitled to future benefits	2020-01-01	76
Total of all active and inactive participants	2020-01-01	620
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	620
Number of participants with account balances	2020-01-01	336
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	623
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	529
Number of retired or separated participants receiving benefits	2019-01-01	38
Number of other retired or separated participants entitled to future benefits	2019-01-01	100
Total of all active and inactive participants	2019-01-01	667
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	667
Number of participants with account balances	2019-01-01	379
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	587
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	498
Number of retired or separated participants receiving benefits	2018-01-01	33
Number of other retired or separated participants entitled to future benefits	2018-01-01	92
Total of all active and inactive participants	2018-01-01	623
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	623
Number of participants with account balances	2018-01-01	318
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	562
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	477
Number of retired or separated participants receiving benefits	2017-01-01	30
Number of other retired or separated participants entitled to future benefits	2017-01-01	80
Total of all active and inactive participants	2017-01-01	587
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	587
Number of participants with account balances	2017-01-01	303
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	606
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	471
Number of retired or separated participants receiving benefits	2016-01-01	23
Number of other retired or separated participants entitled to future benefits	2016-01-01	68
Total of all active and inactive participants	2016-01-01	562
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	562
Number of participants with account balances	2016-01-01	250
2015: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	590
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	482
Number of retired or separated participants receiving benefits	2015-01-01	17
Number of other retired or separated participants entitled to future benefits	2015-01-01	107
Total of all active and inactive participants	2015-01-01	606
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	606
Number of participants with account balances	2015-01-01	277
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	9
2014: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	684
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	481
Number of retired or separated participants receiving benefits	2014-01-01	4
Number of other retired or separated participants entitled to future benefits	2014-01-01	105
Total of all active and inactive participants	2014-01-01	590
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	590
Number of participants with account balances	2014-01-01	264
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	4
2013: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	566
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	592
Number of retired or separated participants receiving benefits	2013-01-01	8
Number of other retired or separated participants entitled to future benefits	2013-01-01	84
Total of all active and inactive participants	2013-01-01	684
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	684
Number of participants with account balances	2013-01-01	263
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	562
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	468
Number of retired or separated participants receiving benefits	2012-01-01	3
Number of other retired or separated participants entitled to future benefits	2012-01-01	95
Total of all active and inactive participants	2012-01-01	566
Total participants	2012-01-01	566
Number of participants with account balances	2012-01-01	250
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	6
2011: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	490
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	473
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	89
Total of all active and inactive participants	2011-01-01	562
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	562
Number of participants with account balances	2011-01-01	254
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	3
2009: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	555
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	461
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	89
Total of all active and inactive participants	2009-01-01	550
Total participants	2009-01-01	550
Number of participants with account balances	2009-01-01	149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	4

Financial Data on THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN

Measure	Date	Value
2022 : THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$45,854
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$49,036
Total income from all sources (including contributions)	2022-12-31	$-243,655
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$1,093,247
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$981,185
Expenses. Certain deemed distributions of participant loans	2022-12-31	$20,929
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,692,908
Value of total assets at end of year	2022-12-31	$11,376,988
Value of total assets at beginning of year	2022-12-31	$12,717,072
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$91,133
Total interest from all sources	2022-12-31	$10,187
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$548,002
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$548,002
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$1,178,046
Participant contributions at end of year	2022-12-31	$255,098
Participant contributions at beginning of year	2022-12-31	$191,720
Participant contributions at end of year	2022-12-31	$45,317
Participant contributions at beginning of year	2022-12-31	$42,596
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$14,646
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$45,854
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$49,036
Other income not declared elsewhere	2022-12-31	$5,241
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-1,336,902
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$11,331,134
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$12,668,036
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$91,133
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$10,832,868
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$12,337,035
Interest on participant loans	2022-12-31	$10,187
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$214,423
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$115,277
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-2,499,993
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$500,216
Employer contributions (assets) at end of year	2022-12-31	$29,282
Employer contributions (assets) at beginning of year	2022-12-31	$30,444
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$981,185
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	MOSS ADAMS, LLP
Accountancy firm EIN	2022-12-31	910189318
2021 : THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$49,036
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$50,227
Total income from all sources (including contributions)	2021-12-31	$3,009,854
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$865,769
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$766,219
Expenses. Certain deemed distributions of participant loans	2021-12-31	$8,732
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,480,585
Value of total assets at end of year	2021-12-31	$12,717,072
Value of total assets at beginning of year	2021-12-31	$10,574,178
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$90,818
Total interest from all sources	2021-12-31	$13,104
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$651,257
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$651,257
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$1,024,707
Participant contributions at end of year	2021-12-31	$191,720
Participant contributions at beginning of year	2021-12-31	$201,407
Participant contributions at end of year	2021-12-31	$42,596
Participant contributions at beginning of year	2021-12-31	$36,621
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$12,853
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$49,036
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$50,227
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$2,144,085
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$12,668,036
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$10,523,951
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$90,818
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$12,337,035
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$10,081,678
Interest on participant loans	2021-12-31	$8,664
Interest earned on other investments	2021-12-31	$4,440
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$115,277
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$221,043
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$864,908
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$443,025
Employer contributions (assets) at end of year	2021-12-31	$30,444
Employer contributions (assets) at beginning of year	2021-12-31	$33,429
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$766,219
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	MOSS ADAMS, LLP
Accountancy firm EIN	2021-12-31	910189318
2020 : THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$50,227
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$53,764
Total income from all sources (including contributions)	2020-12-31	$2,960,818
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$507,962
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$422,187
Expenses. Certain deemed distributions of participant loans	2020-12-31	$5,092
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,531,201
Value of total assets at end of year	2020-12-31	$10,574,178
Value of total assets at beginning of year	2020-12-31	$8,124,859
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$80,683
Total interest from all sources	2020-12-31	$9,900
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$357,110
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$357,110
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$990,823
Participant contributions at end of year	2020-12-31	$201,407
Participant contributions at beginning of year	2020-12-31	$194,247
Participant contributions at end of year	2020-12-31	$36,621
Participant contributions at beginning of year	2020-12-31	$2,151
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$113,869
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$31
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$50,227
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$53,764
Other income not declared elsewhere	2020-12-31	$5,611
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$2,452,856
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$10,523,951
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$8,071,095
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$80,683
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$10,081,678
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$7,707,532
Interest on participant loans	2020-12-31	$9,900
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$221,043
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$188,588
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$1,056,996
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$426,509
Employer contributions (assets) at end of year	2020-12-31	$33,429
Employer contributions (assets) at beginning of year	2020-12-31	$32,310
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$422,187
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	MOSS ADAMS, LLP
Accountancy firm EIN	2020-12-31	910189318
2019 : THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$53,764
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$59,268
Total income from all sources (including contributions)	2019-12-31	$2,506,193
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$321,295
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$254,740
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,245,090
Value of total assets at end of year	2019-12-31	$8,124,859
Value of total assets at beginning of year	2019-12-31	$5,945,465
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$66,555
Total interest from all sources	2019-12-31	$8,636
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$310,037
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$310,037
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$858,541
Participant contributions at end of year	2019-12-31	$194,247
Participant contributions at beginning of year	2019-12-31	$151,008
Participant contributions at end of year	2019-12-31	$2,151
Participant contributions at beginning of year	2019-12-31	$2,151
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$17,390
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$31
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$53,764
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$59,268
Other income not declared elsewhere	2019-12-31	$60
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$2,184,898
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$8,071,095
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$5,886,197
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$66,555
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$7,707,532
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$5,678,508
Interest on participant loans	2019-12-31	$8,605
Interest earned on other investments	2019-12-31	$31
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$188,588
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$100,513
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$942,370
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$369,159
Employer contributions (assets) at end of year	2019-12-31	$32,310
Employer contributions (assets) at beginning of year	2019-12-31	$13,285
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$254,740
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	MOSS ADAMS, LLP
Accountancy firm EIN	2019-12-31	910189318
2018 : THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$59,268
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$781,339
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$414,725
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$354,064
Expenses. Certain deemed distributions of participant loans	2018-12-31	$3,590
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,051,605
Value of total assets at end of year	2018-12-31	$5,945,465
Value of total assets at beginning of year	2018-12-31	$5,519,583
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$57,071
Total interest from all sources	2018-12-31	$6,637
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$253,840
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$253,840
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$718,393
Participant contributions at end of year	2018-12-31	$151,008
Participant contributions at beginning of year	2018-12-31	$132,628
Participant contributions at end of year	2018-12-31	$2,151
Participant contributions at beginning of year	2018-12-31	$11
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$30,468
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$59,268
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$0
Other income not declared elsewhere	2018-12-31	$2,986
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$366,614
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$5,886,197
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$5,519,583
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$57,071
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$5,678,508
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$5,346,929
Interest on participant loans	2018-12-31	$6,637
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$100,513
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$23,767
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-533,729
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$302,744
Employer contributions (assets) at end of year	2018-12-31	$13,285
Employer contributions (assets) at beginning of year	2018-12-31	$16,248
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$354,064
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	MOSS ADAMS, LLP
Accountancy firm EIN	2018-12-31	910189318
2017 : THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$1,620,406
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$459,923
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$395,398
Expenses. Certain deemed distributions of participant loans	2017-12-31	$19,859
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$838,558
Value of total assets at end of year	2017-12-31	$5,519,583
Value of total assets at beginning of year	2017-12-31	$4,359,100
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$44,666
Total interest from all sources	2017-12-31	$6,710
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$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	$573,448
Participant contributions at end of year	2017-12-31	$132,628
Participant contributions at beginning of year	2017-12-31	$79,961
Participant contributions at end of year	2017-12-31	$11
Participant contributions at beginning of year	2017-12-31	$443
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$4,950
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	$1,160,483
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$5,519,583
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$4,359,100
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	$44,666
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$5,346,929
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$4,158,997
Interest on participant loans	2017-12-31	$6,710
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$23,767
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$112,452
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$775,138
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	Yes
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	$260,160
Employer contributions (assets) at end of year	2017-12-31	$16,248
Employer contributions (assets) at beginning of year	2017-12-31	$7,247
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$395,398
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	MOSS ADAMS, LLP
Accountancy firm EIN	2017-12-31	910189318
2016 : THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$646,517
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$340,288
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$334,589
Expenses. Certain deemed distributions of participant loans	2016-12-31	$5,513
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$482,853
Value of total assets at end of year	2016-12-31	$4,359,100
Value of total assets at beginning of year	2016-12-31	$4,052,871
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$186
Total interest from all sources	2016-12-31	$57,074
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
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	$398,002
Participant contributions at end of year	2016-12-31	$79,961
Participant contributions at beginning of year	2016-12-31	$97,434
Participant contributions at end of year	2016-12-31	$443
Participant contributions at beginning of year	2016-12-31	$14,321
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	$306,229
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$4,359,100
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$4,052,871
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	$186
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$4,158,997
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$2,334,177
Interest on participant loans	2016-12-31	$5,813
Interest earned on other investments	2016-12-31	$51,261
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$112,452
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$1,598,324
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$106,590
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$84,851
Employer contributions (assets) at end of year	2016-12-31	$7,247
Employer contributions (assets) at beginning of year	2016-12-31	$8,615
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$334,589
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	MOSS ADAMS, LLP
Accountancy firm EIN	2016-12-31	910189318
2015 : THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$449,955
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$182,092
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$174,437
Expenses. Certain deemed distributions of participant loans	2015-12-31	$7,655
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$464,965
Value of total assets at end of year	2015-12-31	$4,052,871
Value of total assets at beginning of year	2015-12-31	$3,785,008
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$0
Total interest from all sources	2015-12-31	$53,963
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
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	No
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	$379,842
Participant contributions at end of year	2015-12-31	$97,434
Participant contributions at beginning of year	2015-12-31	$102,827
Participant contributions at end of year	2015-12-31	$14,321
Participant contributions at beginning of year	2015-12-31	$13,656
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$200
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	$267,863
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$4,052,871
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$3,785,008
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$2,334,177
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$2,179,756
Interest on participant loans	2015-12-31	$6,512
Interest earned on other investments	2015-12-31	$47,451
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$1,598,324
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$1,479,105
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-68,973
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$84,923
Employer contributions (assets) at end of year	2015-12-31	$8,615
Employer contributions (assets) at beginning of year	2015-12-31	$9,664
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$174,437
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	MOSS ADAMS
Accountancy firm EIN	2015-12-31	910189318
2014 : THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$585,906
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$356,552
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$346,934
Expenses. Certain deemed distributions of participant loans	2014-12-31	$8,579
Value of total corrective distributions	2014-12-31	$1,039
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$425,394
Value of total assets at end of year	2014-12-31	$3,785,008
Value of total assets at beginning of year	2014-12-31	$3,555,654
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$0
Total interest from all sources	2014-12-31	$49,941
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
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	$339,054
Participant contributions at end of year	2014-12-31	$102,827
Participant contributions at beginning of year	2014-12-31	$114,297
Participant contributions at end of year	2014-12-31	$13,656
Participant contributions at beginning of year	2014-12-31	$12,554
Other income not declared elsewhere	2014-12-31	$1,446
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	$229,354
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$3,785,008
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$3,555,654
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$2,179,756
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$2,028,410
Interest on participant loans	2014-12-31	$8,791
Interest earned on other investments	2014-12-31	$41,150
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$1,479,105
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$1,393,187
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$109,125
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	$86,340
Employer contributions (assets) at end of year	2014-12-31	$9,664
Employer contributions (assets) at beginning of year	2014-12-31	$7,206
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$346,934
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	MOSS ADAMS
Accountancy firm EIN	2014-12-31	910189318
2013 : THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) 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	$740,199
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$199,863
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$194,710
Expenses. Certain deemed distributions of participant loans	2013-12-31	$5,153
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$405,998
Value of total assets at end of year	2013-12-31	$3,555,654
Value of total assets at beginning of year	2013-12-31	$3,015,318
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$0
Total interest from all sources	2013-12-31	$48,656
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	$328,035
Participant contributions at end of year	2013-12-31	$114,297
Participant contributions at beginning of year	2013-12-31	$88,929
Participant contributions at end of year	2013-12-31	$12,554
Participant contributions at beginning of year	2013-12-31	$12,649
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) 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	$540,336
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$3,555,654
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,015,318
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	$2,028,410
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$1,565,026
Interest on participant loans	2013-12-31	$6,662
Interest earned on other investments	2013-12-31	$41,994
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$1,393,187
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$1,346,111
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$285,545
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	$77,963
Employer contributions (assets) at end of year	2013-12-31	$7,206
Employer contributions (assets) at beginning of year	2013-12-31	$2,603
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$194,710
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	MOSS ADAMS
Accountancy firm EIN	2013-12-31	910189318
2012 : THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) 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	$14,664
Total income from all sources (including contributions)	2012-12-31	$621,319
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$165,865
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$160,802
Expenses. Certain deemed distributions of participant loans	2012-12-31	$4,963
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$434,619
Value of total assets at end of year	2012-12-31	$3,015,318
Value of total assets at beginning of year	2012-12-31	$2,574,528
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$100
Total interest from all sources	2012-12-31	$46,778
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	$347,198
Participant contributions at end of year	2012-12-31	$88,929
Participant contributions at beginning of year	2012-12-31	$77,109
Participant contributions at end of year	2012-12-31	$12,649
Participant contributions at beginning of year	2012-12-31	$18,908
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$3,008
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$14,664
Administrative expenses (other) incurred	2012-12-31	$100
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	$455,454
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,015,318
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,559,864
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	$1,565,026
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,202,301
Interest on participant loans	2012-12-31	$6,396
Interest earned on other investments	2012-12-31	$40,382
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$1,346,111
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$1,276,210
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$139,922
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	$84,413
Employer contributions (assets) at end of year	2012-12-31	$2,603
Employer contributions (assets) at beginning of year	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$160,802
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	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Qualified
Accountancy firm name	2012-12-31	MOSS ADAMS
Accountancy firm EIN	2012-12-31	910189318
2011 : THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets to this plan	2011-12-31	$0
Total transfer of assets from this plan	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$14,664
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$33,149
Total income from all sources (including contributions)	2011-12-31	$485,216
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$146,692
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$129,568
Expenses. Certain deemed distributions of participant loans	2011-12-31	$15,528
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$447,263
Value of total assets at end of year	2011-12-31	$2,574,528
Value of total assets at beginning of year	2011-12-31	$2,254,489
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$1,596
Total interest from all sources	2011-12-31	$43,225
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	$354,438
Participant contributions at end of year	2011-12-31	$77,109
Participant contributions at beginning of year	2011-12-31	$67,990
Participant contributions at end of year	2011-12-31	$18,908
Participant contributions at beginning of year	2011-12-31	$12,034
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$9,935
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$14,664
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$33,149
Administrative expenses (other) incurred	2011-12-31	$1,168
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
Income. Non cash contributions	2011-12-31	$0
Value of net income/loss	2011-12-31	$338,524
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,559,864
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,221,340
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	$1,202,301
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,035,592
Interest on participant loans	2011-12-31	$4,030
Interest earned on other investments	2011-12-31	$39,195
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$1,276,210
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$1,138,873
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-5,272
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
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
Contributions received in cash from employer	2011-12-31	$82,890
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$129,568
Contract administrator fees	2011-12-31	$428
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	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Qualified
Accountancy firm name	2011-12-31	MICHAEL L. PIELS CPA'S, LLP
Accountancy firm EIN	2011-12-31	931226907
2010 : THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) 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	$33,149
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$40,049
Total income from all sources (including contributions)	2010-12-31	$532,976
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$198,488
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$186,915
Expenses. Certain deemed distributions of participant loans	2010-12-31	$11,415
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$370,039
Value of total assets at end of year	2010-12-31	$2,254,489
Value of total assets at beginning of year	2010-12-31	$1,926,901
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$158
Total interest from all sources	2010-12-31	$49,092
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	$309,409
Participant contributions at end of year	2010-12-31	$67,990
Participant contributions at beginning of year	2010-12-31	$82,517
Participant contributions at end of year	2010-12-31	$12,034
Participant contributions at beginning of year	2010-12-31	$9,747
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$33,149
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$40,049
Administrative expenses (other) incurred	2010-12-31	$158
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	$334,488
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,221,340
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,886,852
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	$1,035,592
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$0
Value of interest in pooled separate accounts at end of year	2010-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$800,915
Interest on participant loans	2010-12-31	$5,671
Interest earned on other investments	2010-12-31	$43,421
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$1,138,873
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$1,033,722
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$113,845
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
Contributions received in cash from employer	2010-12-31	$60,630
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$186,915
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	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Qualified
Accountancy firm name	2010-12-31	MICHAEL PIELS CPA'S
Accountancy firm EIN	2010-12-31	931226907
2009 : THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) 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 MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN

2022: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) 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	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) 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 funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) 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 funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) 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 funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: THE MEADOWS OF NAPA VALLEY & SARATOGA RETIREMENT COMMUNITY 403(B) 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 – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

894645+007

Policy instance

Insurance contract or identification number	894645+007
Number of Individuals Covered	889
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR31794

Policy instance

Insurance contract or identification number	CR31794
Number of Individuals Covered	28
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $212
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $212
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

894645+007

Policy instance

Insurance contract or identification number	894645+007
Number of Individuals Covered	867
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $48
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $48
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR31794

Policy instance

Insurance contract or identification number	CR31794
Number of Individuals Covered	30
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $180
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $180
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

894645+007

Policy instance

Insurance contract or identification number	894645+007
Number of Individuals Covered	755
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $449
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $449
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR31794

Policy instance

Insurance contract or identification number	CR31794
Number of Individuals Covered	30
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $201
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $201
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

894645+007

Policy instance

Insurance contract or identification number	894645+007
Number of Individuals Covered	720
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $233
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $233
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR31794

Policy instance

Insurance contract or identification number	CR31794
Number of Individuals Covered	31
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $195
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $195
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

894645+007

Policy instance

Insurance contract or identification number	894645+007
Number of Individuals Covered	656
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $2
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR31794

Policy instance

Insurance contract or identification number	CR31794
Number of Individuals Covered	32
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $195
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $195
Insurance broker organization code?	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

894645+007

Policy instance

Insurance contract or identification number	894645+007
Number of Individuals Covered	594
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR31794

Policy instance

Insurance contract or identification number	CR31794
Number of Individuals Covered	34
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $128
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $128
Insurance broker organization code?	4
Insurance broker name	LINCOLN FINANCIAL ADVISORS

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Company Name:	ODD FELLOWS HOME OF CA
Employer identification number (EIN):	941251113
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities