401k Plan data: ST. JOSEPH NURSING HOME 401(K) PLAN plan

ST. JOSEPH NURSING HOME 401(K) PLAN 401k Plan overview

Plan Name	ST. JOSEPH NURSING HOME 401(K) PLAN
Plan identification number	002

ST. JOSEPH NURSING HOME 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.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

BOARD OF DIRECTORS OF ST. JOSEPH PASTORAL CARE, INC. has sponsored the creation of one or more 401k plans.

Company Name: BOARD OF DIRECTORS OF ST. JOSEPH PASTORAL CARE, INC.

Employer identification number (EIN): 160985052

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ST. JOSEPH NURSING HOME 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-01-01 ELIZABETH KEARNS 2016-03-28
002 2014-01-01 ELIZABETH KEARNS 2015-10-09
002 2013-01-01 DAVID HARTNETT
002 2012-01-01 DAVID HARTNETT
002 2011-01-01 DAVID HARTNETT
002 2010-01-01 DAVID HARTNETT
002 2009-01-01 JOHN SALVATI JOHN SALVATI 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2015-01-01	ELIZABETH KEARNS	2016-03-28
002	2014-01-01	ELIZABETH KEARNS	2015-10-09
002	2013-01-01	DAVID HARTNETT
002	2012-01-01	DAVID HARTNETT
002	2011-01-01	DAVID HARTNETT
002	2010-01-01	DAVID HARTNETT
002	2009-01-01	JOHN SALVATI		JOHN SALVATI	2010-10-14

Plan Statistics for ST. JOSEPH NURSING HOME 401(K) PLAN

401k plan membership statisitcs for ST. JOSEPH NURSING HOME 401(K) PLAN

Measure Date Value
2013: ST. JOSEPH NURSING HOME 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 123
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 31
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 23
Total of all active and inactive participants 2013-01-01 54
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 54
Number of participants with account balances 2013-01-01 54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 1
2012: ST. JOSEPH NURSING HOME 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 119
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 93
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 30
Total of all active and inactive participants 2012-01-01 123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 123
Number of participants with account balances 2012-01-01 60
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 5
2011: ST. JOSEPH NURSING HOME 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 127
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 95
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 22
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 63
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 11
2010: ST. JOSEPH NURSING HOME 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 123
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 110
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 10
Total of all active and inactive participants 2010-01-01 120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 120
Number of participants with account balances 2010-01-01 64
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 3
2009: ST. JOSEPH NURSING HOME 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 126
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 111
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 7
Total of all active and inactive participants 2009-01-01 118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 118
Number of participants with account balances 2009-01-01 47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2013: ST. JOSEPH NURSING HOME 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	123
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	31
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	23
Total of all active and inactive participants	2013-01-01	54
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	54
Number of participants with account balances	2013-01-01	54
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	1
2012: ST. JOSEPH NURSING HOME 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	119
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	93
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	30
Total of all active and inactive participants	2012-01-01	123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	123
Number of participants with account balances	2012-01-01	60
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	5
2011: ST. JOSEPH NURSING HOME 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	127
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	95
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	22
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	63
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	11
2010: ST. JOSEPH NURSING HOME 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	123
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	110
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	10
Total of all active and inactive participants	2010-01-01	120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	120
Number of participants with account balances	2010-01-01	64
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	3
2009: ST. JOSEPH NURSING HOME 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	126
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	111
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	7
Total of all active and inactive participants	2009-01-01	118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	118
Number of participants with account balances	2009-01-01	47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on ST. JOSEPH NURSING HOME 401(K) PLAN

Measure	Date	Value
2013 : ST. JOSEPH NURSING HOME 401(K) 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	$59,619
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$93,667
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$90,437
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$25,641
Value of total assets at end of year	2013-12-31	$227,222
Value of total assets at beginning of year	2013-12-31	$261,270
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$3,230
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$5,798
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$5,798
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$199,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$25,614
Participant contributions at end of year	2013-12-31	$902
Administrative expenses (other) incurred	2013-12-31	$3,230
Total non interest bearing cash at beginning of year	2013-12-31	$450
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	$-34,048
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$227,222
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$261,270
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	$182,988
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$206,930
Value of interest in common/collective trusts at end of year	2013-12-31	$29,239
Value of interest in common/collective trusts at beginning of year	2013-12-31	$39,824
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$27,847
Net investment gain or loss from common/collective trusts	2013-12-31	$333
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$27
Employer contributions (assets) at end of year	2013-12-31	$14,093
Employer contributions (assets) at beginning of year	2013-12-31	$14,066
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$90,437
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	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	PINTO MUCENSKI HOOPER VANHOUSE & CO
Accountancy firm EIN	2013-12-31	161207215
2012 : ST. JOSEPH NURSING HOME 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$74,676
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$82,801
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$79,009
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$39,351
Value of total assets at end of year	2012-12-31	$261,270
Value of total assets at beginning of year	2012-12-31	$269,395
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$3,792
Total interest from all sources	2012-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$3,829
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	$3,829
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$199,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$25,285
Administrative expenses (other) incurred	2012-12-31	$3,792
Total non interest bearing cash at end of year	2012-12-31	$450
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	$-8,125
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$261,270
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$269,395
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	$206,930
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$225,161
Value of interest in common/collective trusts at end of year	2012-12-31	$39,824
Value of interest in common/collective trusts at beginning of year	2012-12-31	$31,606
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$31,018
Net investment gain or loss from common/collective trusts	2012-12-31	$478
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	$14,066
Employer contributions (assets) at end of year	2012-12-31	$14,066
Employer contributions (assets) at beginning of year	2012-12-31	$12,628
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$79,009
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	Unqualified
Accountancy firm name	2012-12-31	PINTO MUCENSKI HOOPER VANHOUSE & CO
Accountancy firm EIN	2012-12-31	161207215
2011 : ST. JOSEPH NURSING HOME 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$79,095
Total loss/gain on sale of assets	2011-12-31	$7,915
Total of all expenses incurred	2011-12-31	$13,922
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$10,754
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$84,581
Value of total assets at end of year	2011-12-31	$269,395
Value of total assets at beginning of year	2011-12-31	$204,222
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$3,168
Total interest from all sources	2011-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$4,271
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	$4,271
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$199,000
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	$36,974
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$21,231
Administrative expenses (other) incurred	2011-12-31	$1,958
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	$65,173
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$269,395
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$204,222
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
Investment advisory and management fees	2011-12-31	$1,210
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$225,161
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$185,874
Value of interest in common/collective trusts at end of year	2011-12-31	$31,606
Value of interest in common/collective trusts at beginning of year	2011-12-31	$18,348
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-18,070
Net investment gain or loss from common/collective trusts	2011-12-31	$398
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$26,376
Employer contributions (assets) at end of year	2011-12-31	$12,628
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$10,754
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
Aggregate proceeds on sale of assets	2011-12-31	$68,987
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$61,072
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	PINTO MUCENSKI HOOPER VAN HOUSE & C
Accountancy firm EIN	2011-12-31	161207215
2010 : ST. JOSEPH NURSING HOME 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	$94,022
Total loss/gain on sale of assets	2010-12-31	$311
Total of all expenses incurred	2010-12-31	$5,263
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$2,269
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$71,241
Value of total assets at end of year	2010-12-31	$204,222
Value of total assets at beginning of year	2010-12-31	$115,463
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$2,994
Total interest from all sources	2010-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$2,880
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	$2,880
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$5,000
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	$31,919
Administrative expenses (other) incurred	2010-12-31	$2,213
Total non interest bearing cash at beginning of year	2010-12-31	$361
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	$88,759
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$204,222
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$115,463
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
Investment advisory and management fees	2010-12-31	$781
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$185,874
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$106,657
Value of interest in common/collective trusts at end of year	2010-12-31	$18,348
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$8,445
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$8,445
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$19,263
Net investment gain or loss from common/collective trusts	2010-12-31	$327
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	$39,322
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$2,269
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
Aggregate proceeds on sale of assets	2010-12-31	$6,236
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$5,925
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	O'CONNOR, DAVIES, MUNNS & DOBBINS
Accountancy firm EIN	2010-12-31	133385019
2009 : ST. JOSEPH NURSING HOME 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for ST. JOSEPH NURSING HOME 401(K) PLAN

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

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Company Name:	BOARD OF DIRECTORS OF ST. JOSEPH PASTORAL CARE, INC.
Employer identification number (EIN):	160985052
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities