401k Plan data: JAMES SQUARE NURSING HOME INC EMPLOYEES' PROFIT SHARING PLAN AND TRUST plan

JAMES SQUARE NURSING HOME INC EMPLOYEES' PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan Name	JAMES SQUARE NURSING HOME INC EMPLOYEES' PROFIT SHARING PLAN AND TRUST
Plan identification number	001

JAMES SQUARE NURSING HOME INC EMPLOYEES' PROFIT SHARING PLAN AND TRUST 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.
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

JAMES SQUARE NURSING HOME, INC. has sponsored the creation of one or more 401k plans.

Company Name: JAMES SQUARE NURSING HOME, INC.

Employer identification number (EIN): 161236582

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

Additional information about JAMES SQUARE NURSING HOME, INC.

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1984-10-31

Company Identification Number: 953609

Legal Registered Office Address: 918 JAMES ST
Onondaga
SYRACUSE
United States of America (USA)
13203

More information about JAMES SQUARE NURSING HOME, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JAMES SQUARE NURSING HOME INC EMPLOYEES' PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2012-01-01 MAUREEN MARONEY
001 2011-01-01 MAUREEN MARONEY
001 2009-01-01 MARK SQUIRE

Plan id#	Filing Submission Date	Name of Administrator
001	2012-01-01	MAUREEN MARONEY
001	2011-01-01	MAUREEN MARONEY
001	2009-01-01	MARK SQUIRE

Plan Statistics for JAMES SQUARE NURSING HOME INC EMPLOYEES' PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for JAMES SQUARE NURSING HOME INC EMPLOYEES' PROFIT SHARING PLAN AND TRUST

Measure Date Value
2012: JAMES SQUARE NURSING HOME INC EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 457
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
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 0
Total of all active and inactive participants 2012-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 0
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: JAMES SQUARE NURSING HOME INC EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 539
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 412
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 44
Total of all active and inactive participants 2011-01-01 457
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 457
Number of participants with account balances 2011-01-01 156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: JAMES SQUARE NURSING HOME INC EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 526
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 454
Number of other retired or separated participants entitled to future benefits 2009-01-01 60
Total of all active and inactive participants 2009-01-01 514
Total participants 2009-01-01 514
Number of participants with account balances 2009-01-01 208
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: JAMES SQUARE NURSING HOME INC EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	457
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
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	0
Total of all active and inactive participants	2012-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	0
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: JAMES SQUARE NURSING HOME INC EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	539
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	412
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	44
Total of all active and inactive participants	2011-01-01	457
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	457
Number of participants with account balances	2011-01-01	156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: JAMES SQUARE NURSING HOME INC EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	526
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	454
Number of other retired or separated participants entitled to future benefits	2009-01-01	60
Total of all active and inactive participants	2009-01-01	514
Total participants	2009-01-01	514
Number of participants with account balances	2009-01-01	208
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on JAMES SQUARE NURSING HOME INC EMPLOYEES' PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2012 : JAMES SQUARE NURSING HOME INC EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-06-29	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-29	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-06-29	$4,590
Total income from all sources (including contributions)	2012-06-29	$41,158
Total loss/gain on sale of assets	2012-06-29	$0
Total of all expenses incurred	2012-06-29	$1,036,020
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-29	$1,021,355
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-29	$0
Value of total assets at end of year	2012-06-29	$0
Value of total assets at beginning of year	2012-06-29	$999,452
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-06-29	$14,665
Total interest from all sources	2012-06-29	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-06-29	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-06-29	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2012-06-29	$0
Administrative expenses professional fees incurred	2012-06-29	$8,342
Was this plan covered by a fidelity bond	2012-06-29	Yes
Value of fidelity bond cover	2012-06-29	$500,000
If this is an individual account plan, was there a blackout period	2012-06-29	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-29	$0
Were there any nonexempt tranactions with any party-in-interest	2012-06-29	No
Participant contributions at end of year	2012-06-29	$0
Participant contributions at beginning of year	2012-06-29	$2,348
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-06-29	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-06-29	$4,590
Other income not declared elsewhere	2012-06-29	$206
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-29	No
Value of net income/loss	2012-06-29	$-994,862
Value of net assets at end of year (total assets less liabilities)	2012-06-29	$0
Value of net assets at beginning of year (total assets less liabilities)	2012-06-29	$994,862
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-29	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-29	No
Were any leases to which the plan was party in default or uncollectible	2012-06-29	No
Investment advisory and management fees	2012-06-29	$5,448
Value of interest in pooled separate accounts at end of year	2012-06-29	$0
Value of interest in pooled separate accounts at beginning of year	2012-06-29	$944,983
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-06-29	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-06-29	$52,121
Net investment gain/loss from pooled separate accounts	2012-06-29	$40,952
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-29	Yes
Was there a failure to transmit to the plan any participant contributions	2012-06-29	No
Has the plan failed to provide any benefit when due under the plan	2012-06-29	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-29	$1,021,355
Contract administrator fees	2012-06-29	$875
Did the plan have assets held for investment	2012-06-29	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	2012-06-29	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-29	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-29	Yes
Opinion of an independent qualified public accountant for this plan	2012-06-29	Disclaimer
Accountancy firm name	2012-06-29	FUST CHARLES CHAMBERS LLP
Accountancy firm EIN	2012-06-29	161226221
2011 : JAMES SQUARE NURSING HOME INC EMPLOYEES' PROFIT SHARING PLAN AND TRUST 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	$4,590
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$5,751
Total income from all sources (including contributions)	2011-12-31	$111,665
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$159,398
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$117,449
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$123,279
Value of total assets at end of year	2011-12-31	$999,452
Value of total assets at beginning of year	2011-12-31	$1,048,346
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$41,949
Total interest from all sources	2011-12-31	$0
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	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2011-12-31	$0
Administrative expenses professional fees incurred	2011-12-31	$8,342
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$123,279
Participant contributions at end of year	2011-12-31	$2,348
Participant contributions at beginning of year	2011-12-31	$2,862
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$4,590
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$5,751
Other income not declared elsewhere	2011-12-31	$1,213
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	$-47,733
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$994,862
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,042,595
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	$14,297
Value of interest in pooled separate accounts at end of year	2011-12-31	$944,983
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$996,272
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$52,121
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$49,212
Net investment gain/loss from pooled separate accounts	2011-12-31	$-12,827
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$117,449
Contract administrator fees	2011-12-31	$19,310
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	FUST CHARLES CHAMBERS LLP
Accountancy firm EIN	2011-12-31	161226221
2010 : JAMES SQUARE NURSING HOME INC EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$5,751
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$5,658
Total income from all sources (including contributions)	2010-12-31	$219,037
Total of all expenses incurred	2010-12-31	$220,340
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$175,300
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$157,509
Value of total assets at end of year	2010-12-31	$1,048,346
Value of total assets at beginning of year	2010-12-31	$1,049,556
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$45,040
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Administrative expenses professional fees incurred	2010-12-31	$9,109
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$157,509
Participant contributions at end of year	2010-12-31	$2,862
Participant contributions at beginning of year	2010-12-31	$2,535
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$5,751
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$5,658
Other income not declared elsewhere	2010-12-31	$1,409
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	$-1,303
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,042,595
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,043,898
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	$14,206
Value of interest in pooled separate accounts at end of year	2010-12-31	$996,272
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$1,016,132
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$49,212
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$30,889
Net investment gain/loss from pooled separate accounts	2010-12-31	$60,119
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$175,300
Contract administrator fees	2010-12-31	$21,725
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	FUST CHARLES CHAMBERS LLP
Accountancy firm EIN	2010-12-31	161226221

Form 5500 Responses for JAMES SQUARE NURSING HOME INC EMPLOYEES' PROFIT SHARING PLAN AND TRUST

2012: JAMES SQUARE NURSING HOME INC EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	This submission is the final filing	Yes
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: JAMES SQUARE NURSING HOME INC EMPLOYEES' PROFIT SHARING PLAN AND TRUST 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: JAMES SQUARE NURSING HOME INC EMPLOYEES' PROFIT SHARING PLAN AND TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
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

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Company Name:	JAMES SQUARE NURSING HOME, INC.
Employer identification number (EIN):	161236582
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1984-10-31
Company Identification Number:	953609
Legal Registered Office Address:	918 JAMES ST Onondaga SYRACUSE United States of America (USA) 13203