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PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 401k Plan overview

Plan NamePILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN
Plan identification number 502

PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

PILGRIM PLACE IN CLAREMONT has sponsored the creation of one or more 401k plans.

Company Name:PILGRIM PLACE IN CLAREMONT
Employer identification number (EIN):951691301
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about PILGRIM PLACE IN CLAREMONT

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C0079024

More information about PILGRIM PLACE IN CLAREMONT

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01
5022021-01-01
5022020-01-01
5022019-01-01
5022018-01-01ODIE TOLLEFSON
5022017-01-01ODIE TOLLEFSON
5022016-01-01ODIE TOLLEFSON
5022015-01-01ODIE TOLLEFSON
5022014-01-01BERNARD VALEK
5022013-01-01BERNARD VALEK BERNARD VALEK2014-07-10
5022012-01-01MARY JANE HILLARD
5022011-01-01MARY JANE HILLARD
5022010-01-01MARY JANE HILLARD
5022009-01-01MARY JANE HILLARD

Plan Statistics for PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN

401k plan membership statisitcs for PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN

Measure Date Value
2022: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0118
Total number of active participants reported on line 7a of the Form 55002022-01-0112
Total of all active and inactive participants2022-01-0112
Total participants2022-01-0112
2021: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0116
Total number of active participants reported on line 7a of the Form 55002021-01-0113
Total of all active and inactive participants2021-01-0113
Total participants2021-01-0113
2020: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0113
Total number of active participants reported on line 7a of the Form 55002020-01-0111
Total of all active and inactive participants2020-01-0111
Total participants2020-01-0111
2019: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0115
Total number of active participants reported on line 7a of the Form 55002019-01-0111
Total of all active and inactive participants2019-01-0111
Total participants2019-01-0111
2018: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0118
Total number of active participants reported on line 7a of the Form 55002018-01-0114
Total of all active and inactive participants2018-01-0114
Total participants2018-01-0114
2017: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0116
Total number of active participants reported on line 7a of the Form 55002017-01-0115
Total of all active and inactive participants2017-01-0115
Total participants2017-01-0115
2016: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0116
Total number of active participants reported on line 7a of the Form 55002016-01-0117
Total of all active and inactive participants2016-01-0117
Total participants2016-01-0117
2015: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0117
Total number of active participants reported on line 7a of the Form 55002015-01-0114
Total of all active and inactive participants2015-01-0114
Total participants2015-01-0114
2014: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0118
Total of all active and inactive participants2014-01-010
Total participants2014-01-010
2013: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0119
Total number of active participants reported on line 7a of the Form 55002013-01-0118
Total of all active and inactive participants2013-01-0118
Total participants2013-01-0118
2012: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0119
Total number of active participants reported on line 7a of the Form 55002012-01-0119
Total of all active and inactive participants2012-01-0119
Total participants2012-01-0119
2011: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0118
Total number of active participants reported on line 7a of the Form 55002011-01-0118
Total of all active and inactive participants2011-01-0118
Total participants2011-01-0118
2010: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0120
Total number of active participants reported on line 7a of the Form 55002010-01-0117
Total of all active and inactive participants2010-01-0117
Total participants2010-01-0117
2009: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0120
Total number of active participants reported on line 7a of the Form 55002009-01-0120
Total of all active and inactive participants2009-01-0120
Total participants2009-01-0120

Financial Data on PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN

Measure Date Value
2022 : PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$15,725
Total income from all sources2022-12-31$15,057
Expenses. Total of all expenses incurred2022-12-31$15,725
Benefits paid (including direct rollovers)2022-12-31$15,725
Total plan assets at end of year2022-12-31$15,057
Value of fidelity bond covering the plan2022-12-31$5,000
Total contributions received or receivable from participants2022-12-31$12,410
Contributions received from other sources (not participants or employers)2022-12-31$2,647
Net income (gross income less expenses)2022-12-31$-668
Net plan assets at end of year (total assets less liabilities)2022-12-31$-668
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$0
2021 : PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$9,461
Total income from all sources2021-12-31$12,416
Expenses. Total of all expenses incurred2021-12-31$9,461
Benefits paid (including direct rollovers)2021-12-31$9,461
Total plan assets at end of year2021-12-31$12,416
Value of fidelity bond covering the plan2021-12-31$5,000
Total contributions received or receivable from participants2021-12-31$12,416
Net income (gross income less expenses)2021-12-31$2,955
Net plan assets at end of year (total assets less liabilities)2021-12-31$2,955
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$0
2020 : PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$11,189
Total income from all sources2020-12-31$12,653
Expenses. Total of all expenses incurred2020-12-31$11,189
Benefits paid (including direct rollovers)2020-12-31$11,189
Total plan assets at end of year2020-12-31$12,653
Value of fidelity bond covering the plan2020-12-31$5,000
Total contributions received or receivable from participants2020-12-31$12,653
Net income (gross income less expenses)2020-12-31$1,464
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,464
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$0
2019 : PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$10,441
Total income from all sources2019-12-31$9,994
Expenses. Total of all expenses incurred2019-12-31$10,441
Benefits paid (including direct rollovers)2019-12-31$10,441
Total plan assets at end of year2019-12-31$9,994
Value of fidelity bond covering the plan2019-12-31$5,000
Total contributions received or receivable from participants2019-12-31$9,994
Net income (gross income less expenses)2019-12-31$-447
Net plan assets at end of year (total assets less liabilities)2019-12-31$-447
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$0
2018 : PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$13,776
Total income from all sources2018-12-31$14,746
Expenses. Total of all expenses incurred2018-12-31$13,776
Benefits paid (including direct rollovers)2018-12-31$13,776
Total plan assets at end of year2018-12-31$14,746
Value of fidelity bond covering the plan2018-12-31$5,000
Total contributions received or receivable from participants2018-12-31$14,746
Net income (gross income less expenses)2018-12-31$970
Net plan assets at end of year (total assets less liabilities)2018-12-31$970
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$0
2017 : PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$18,635
Total income from all sources2017-12-31$19,779
Expenses. Total of all expenses incurred2017-12-31$18,635
Benefits paid (including direct rollovers)2017-12-31$18,635
Total plan assets at end of year2017-12-31$19,779
Value of fidelity bond covering the plan2017-12-31$5,000
Total contributions received or receivable from participants2017-12-31$19,779
Net income (gross income less expenses)2017-12-31$1,144
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,144
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$0
2016 : PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$20,299
Total income from all sources2016-12-31$19,029
Expenses. Total of all expenses incurred2016-12-31$20,299
Benefits paid (including direct rollovers)2016-12-31$20,299
Total plan assets at end of year2016-12-31$19,029
Value of fidelity bond covering the plan2016-12-31$5,000
Total contributions received or receivable from participants2016-12-31$19,029
Net income (gross income less expenses)2016-12-31$-1,270
Net plan assets at end of year (total assets less liabilities)2016-12-31$-1,270
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$0
2015 : PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$17,003
Total income from all sources2015-12-31$16,684
Expenses. Total of all expenses incurred2015-12-31$17,003
Benefits paid (including direct rollovers)2015-12-31$17,003
Total plan assets at end of year2015-12-31$16,684
Value of fidelity bond covering the plan2015-12-31$5,000
Total contributions received or receivable from participants2015-12-31$16,684
Net income (gross income less expenses)2015-12-31$-319
Net plan assets at end of year (total assets less liabilities)2015-12-31$-319
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$0
2014 : PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2014 401k financial data
Total income from all sources2014-12-31$20,574
Expenses. Total of all expenses incurred2014-12-31$19,210
Benefits paid (including direct rollovers)2014-12-31$19,210
Total plan assets at end of year2014-12-31$1,364
Value of fidelity bond covering the plan2014-12-31$5,000
Total contributions received or receivable from participants2014-12-31$20,574
Net income (gross income less expenses)2014-12-31$1,364
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,364
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$0
2013 : PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2013 401k financial data
Total income from all sources2013-12-31$18,721
Expenses. Total of all expenses incurred2013-12-31$16,826
Benefits paid (including direct rollovers)2013-12-31$16,826
Total plan assets at end of year2013-12-31$1,895
Value of fidelity bond covering the plan2013-12-31$5,000
Total contributions received or receivable from participants2013-12-31$18,721
Net income (gross income less expenses)2013-12-31$1,895
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,895
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$0
2012 : PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2012 401k financial data
Total income from all sources2012-12-31$20,767
Expenses. Total of all expenses incurred2012-12-31$19,955
Benefits paid (including direct rollovers)2012-12-31$19,955
Total plan assets at end of year2012-12-31$812
Value of fidelity bond covering the plan2012-12-31$5,000
Total contributions received or receivable from participants2012-12-31$20,767
Net income (gross income less expenses)2012-12-31$812
Net plan assets at end of year (total assets less liabilities)2012-12-31$812
2011 : PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2011 401k financial data
Total income from all sources2011-12-31$20,129
Expenses. Total of all expenses incurred2011-12-31$19,645
Benefits paid (including direct rollovers)2011-12-31$19,645
Total plan assets at end of year2011-12-31$484
Value of fidelity bond covering the plan2011-12-31$5,000
Total contributions received or receivable from participants2011-12-31$20,129
Net income (gross income less expenses)2011-12-31$484
Net plan assets at end of year (total assets less liabilities)2011-12-31$484
2010 : PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2010 401k financial data
Total income from all sources2010-12-31$20,477
Expenses. Total of all expenses incurred2010-12-31$19,476
Benefits paid (including direct rollovers)2010-12-31$19,476
Total plan assets at end of year2010-12-31$1,001
Total plan assets at beginning of year2010-12-31$0
Value of fidelity bond covering the plan2010-12-31$5,000
Total contributions received or receivable from participants2010-12-31$20,477
Net income (gross income less expenses)2010-12-31$1,001
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,001
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$0

Form 5500 Responses for PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN

2022: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: PILGRIM PLACE IN CLAREMONT, INC. - FLEXIBLE BENEFITS PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

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