401k Plan data: EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN plan

EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN 401k Plan overview

Plan Name	EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN
Plan identification number	001

EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
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.
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

EDEN PARK HEALTH SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name: EDEN PARK HEALTH SERVICES, INC.

Employer identification number (EIN): 141548928

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

Additional information about EDEN PARK HEALTH SERVICES, INC.

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1971-11-04

Company Identification Number: 317349

Legal Registered Office Address: 7300 OLEANDER AVE
Albany
PORT ST LUCIE
United States of America (USA)
34952

More information about EDEN PARK HEALTH SERVICES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2013-01-01 SCOTT HOFFMAN
001 2012-01-01 ALTON P. MENDLESON, JR.
001 2011-01-01 ALTON P. MENDLESON, JR.
001 2010-01-01 ALTON P. MENDLESON, JR.
001 2009-01-01 ALTON P. MENDLESON, JR.

Plan id#	Filing Submission Date	Name of Administrator
001	2013-01-01	SCOTT HOFFMAN
001	2012-01-01	ALTON P. MENDLESON, JR.
001	2011-01-01	ALTON P. MENDLESON, JR.
001	2010-01-01	ALTON P. MENDLESON, JR.
001	2009-01-01	ALTON P. MENDLESON, JR.

Plan Statistics for EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN

401k plan membership statisitcs for EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN

Measure Date Value
2013: EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 129
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 117
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 58
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 71
Total of all active and inactive participants 2012-01-01 129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 129
Number of participants with account balances 2012-01-01 108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 119
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 57
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 60
Total of all active and inactive participants 2011-01-01 117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 117
Number of participants with account balances 2011-01-01 103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 259
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 45
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 74
Total of all active and inactive participants 2010-01-01 119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 119
Number of participants with account balances 2010-01-01 85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 970
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 52
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 207
Total of all active and inactive participants 2009-01-01 259
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 259
Number of participants with account balances 2009-01-01 216
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2013: EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	129
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	117
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	58
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	71
Total of all active and inactive participants	2012-01-01	129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	129
Number of participants with account balances	2012-01-01	108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	119
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	57
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	60
Total of all active and inactive participants	2011-01-01	117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	117
Number of participants with account balances	2011-01-01	103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	259
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	45
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	74
Total of all active and inactive participants	2010-01-01	119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	119
Number of participants with account balances	2010-01-01	85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	970
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	52
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	207
Total of all active and inactive participants	2009-01-01	259
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	259
Number of participants with account balances	2009-01-01	216
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN

Measure	Date	Value
2013 : EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets from this plan	2013-12-31	$4,622,342
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	$1,014
Total income from all sources (including contributions)	2013-12-31	$846,051
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$375,967
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$358,411
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$15,106
Value of total assets at end of year	2013-12-31	$0
Value of total assets at beginning of year	2013-12-31	$4,153,272
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$17,556
Total interest from all sources	2013-12-31	$59
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$168,667
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2013-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$168,667
Administrative expenses professional fees incurred	2013-12-31	$10,610
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	$15,106
Participant contributions at beginning of year	2013-12-31	$408
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	$1,014
Total non interest bearing cash at end of year	2013-12-31	$0
Total non interest bearing cash at beginning of year	2013-12-31	$1,014
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	$470,084
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$4,152,258
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	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$3,290,177
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$822,680
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$822,680
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$59
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$662,219
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
Employer contributions (assets) at beginning of year	2013-12-31	$38,993
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$358,411
Contract administrator fees	2013-12-31	$6,946
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	No
Did the plan have assets held for investment	2013-12-31	No
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	ROSEN SEYMOUR SHAPSS MARTIN & CO.
Accountancy firm EIN	2013-12-31	135653927
2012 : EDEN PARK HEALTH SERVICES, INC. 401(K) 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	$1,014
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$5,334
Total income from all sources (including contributions)	2012-12-31	$454,046
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$104,992
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$95,392
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$77,028
Value of total assets at end of year	2012-12-31	$4,153,272
Value of total assets at beginning of year	2012-12-31	$3,808,538
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$9,600
Total interest from all sources	2012-12-31	$47
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$83,041
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$83,041
Administrative expenses professional fees incurred	2012-12-31	$9,600
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	$38,035
Participant contributions at end of year	2012-12-31	$408
Participant contributions at beginning of year	2012-12-31	$1,773
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$1,014
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$5,334
Total non interest bearing cash at end of year	2012-12-31	$1,014
Total non interest bearing cash at beginning of year	2012-12-31	$4,152
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	$349,054
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$4,152,258
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$3,803,204
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	$3,290,177
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$2,983,092
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$822,680
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$784,115
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$784,115
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$47
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$293,930
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	Yes
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	$38,993
Employer contributions (assets) at end of year	2012-12-31	$38,993
Employer contributions (assets) at beginning of year	2012-12-31	$35,406
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$95,392
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	ROSEN SEYMOUR SHAPSS MARTIN & CO.
Accountancy firm EIN	2012-12-31	135653927
2011 : EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$5,334
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$29,985
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$569,997
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$543,070
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$104,145
Value of total assets at end of year	2011-12-31	$3,808,538
Value of total assets at beginning of year	2011-12-31	$4,343,216
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$26,927
Total interest from all sources	2011-12-31	$61
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$74,756
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$74,756
Administrative expenses professional fees incurred	2011-12-31	$26,927
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	$34,232
Participant contributions at end of year	2011-12-31	$1,773
Participant contributions at beginning of year	2011-12-31	$1,863
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$5,334
Total non interest bearing cash at end of year	2011-12-31	$4,152
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-540,012
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,803,204
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$4,343,216
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	$2,983,092
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$3,270,058
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$784,115
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$1,071,295
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$1,071,295
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$61
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-148,977
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$69,913
Employer contributions (assets) at end of year	2011-12-31	$35,406
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$543,070
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	ROSEN SEYMOUR SHAPSS MARTIN & CO
Accountancy firm EIN	2011-12-31	135653927
2010 : EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$394,453
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$475,347
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$461,265
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$33,962
Value of total assets at end of year	2010-12-31	$4,343,216
Value of total assets at beginning of year	2010-12-31	$4,424,110
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$14,082
Total interest from all sources	2010-12-31	$151
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$68,055
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$68,055
Administrative expenses professional fees incurred	2010-12-31	$14,082
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	$33,962
Participant contributions at end of year	2010-12-31	$1,863
Participant contributions at beginning of year	2010-12-31	$1,533
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	$-80,894
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$4,343,216
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$4,424,110
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	$3,270,058
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$3,229,383
Interest earned on other investments	2010-12-31	$45
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$1,071,295
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$1,193,194
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$1,193,194
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$106
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$292,285
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	Yes
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$461,265
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	ROSEN SEYMOUR SHAPSS MARTIN & CO.,
Accountancy firm EIN	2010-12-31	135653927

Form 5500 Responses for EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN

2013: EDEN PARK HEALTH SERVICES, INC. 401(K) 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	Yes
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 – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: EDEN PARK HEALTH SERVICES, INC. 401(K) 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: EDEN PARK HEALTH SERVICES, INC. 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	EDEN PARK HEALTH SERVICES, INC.
Employer identification number (EIN):	141548928
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1971-11-04
Company Identification Number:	317349
Legal Registered Office Address:	7300 OLEANDER AVE Albany PORT ST LUCIE United States of America (USA) 34952