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THE LEGACY AT WILLOW BEND OCCUPATIONAL INJURY BENEFIT PLAN 401k Plan overview

Plan NameTHE LEGACY AT WILLOW BEND OCCUPATIONAL INJURY BENEFIT PLAN
Plan identification number 501

THE LEGACY AT WILLOW BEND OCCUPATIONAL INJURY BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

THE LEGACY AT WILLOW BEND RETIREMENT COMMUNITY, INC. has sponsored the creation of one or more 401k plans.

Company Name:THE LEGACY AT WILLOW BEND RETIREMENT COMMUNITY, INC.
Employer identification number (EIN):202803956
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE LEGACY AT WILLOW BEND OCCUPATIONAL INJURY BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012012-01-01BRIAN BARNES BRIAN BARNES2012-08-31
5012011-01-01BRIAN BARNES BRIAN BARNES2012-04-16
5012009-01-01BRIAN BARNES BRIAN BARNES2010-05-25

Plan Statistics for THE LEGACY AT WILLOW BEND OCCUPATIONAL INJURY BENEFIT PLAN

401k plan membership statisitcs for THE LEGACY AT WILLOW BEND OCCUPATIONAL INJURY BENEFIT PLAN

Measure Date Value
2012: THE LEGACY AT WILLOW BEND OCCUPATIONAL INJURY BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01302
Total number of active participants reported on line 7a of the Form 55002012-01-010
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-010
2011: THE LEGACY AT WILLOW BEND OCCUPATIONAL INJURY BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01284
Total number of active participants reported on line 7a of the Form 55002011-01-01302
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01302
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Number of participants with account balances2011-01-010
2009: THE LEGACY AT WILLOW BEND OCCUPATIONAL INJURY BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01188
Total number of active participants reported on line 7a of the Form 55002009-01-01216
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010

Form 5500 Responses for THE LEGACY AT WILLOW BEND OCCUPATIONAL INJURY BENEFIT PLAN

2012: THE LEGACY AT WILLOW BEND OCCUPATIONAL INJURY BENEFIT 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 filingYes
2012-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: THE LEGACY AT WILLOW BEND OCCUPATIONAL INJURY BENEFIT 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 – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: THE LEGACY AT WILLOW BEND OCCUPATIONAL INJURY BENEFIT 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 – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

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