401k Plan data: THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN plan

THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN 401k Plan overview

Plan Name	THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN
Plan identification number	001

THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
Plan covered by PBGC that was terminated and closed out for PBGC purposes - Before the end of the plan year (or a prior plan year), (1) the plan terminated in a standard (or distress) termination and completed the distribution of plan assets in satisfaction of all benefit liabilities (or all ERISA Title IV benefits for distress termination); or (2) a trustee was appointed for a terminated plan pursuant to ERISA section 4042.
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).

401k Sponsoring company profile

INDIANA MASONIC HOME, INC. has sponsored the creation of one or more 401k plans.

Company Name: INDIANA MASONIC HOME, INC.

Employer identification number (EIN): 352187477

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 ROBERT DEVRIES 2015-07-30
001 2013-01-01 ROBERT DEVRIES ROBERT DEVRIES 2014-10-15
001 2012-01-01 LYNN AUFFART
001 2011-01-01 LYNN AUFFART
001 2009-01-01 MICHAEL MALANDRAKIS
001 2009-01-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	ROBERT DEVRIES	2015-07-30
001	2013-01-01	ROBERT DEVRIES		ROBERT DEVRIES	2014-10-15
001	2012-01-01	LYNN AUFFART
001	2011-01-01	LYNN AUFFART
001	2009-01-01	MICHAEL MALANDRAKIS
001	2009-01-01

Plan Statistics for THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN

401k plan membership statisitcs for THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN

Measure Date Value
2013: THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 506
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 1
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 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 520
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 91
Number of retired or separated participants receiving benefits 2012-01-01 211
Number of other retired or separated participants entitled to future benefits 2012-01-01 180
Total of all active and inactive participants 2012-01-01 482
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 24
Total participants 2012-01-01 506
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 532
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 106
Number of retired or separated participants receiving benefits 2011-01-01 215
Number of other retired or separated participants entitled to future benefits 2011-01-01 176
Total of all active and inactive participants 2011-01-01 497
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 23
Total participants 2011-01-01 520
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 552
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 142
Number of retired or separated participants receiving benefits 2009-01-01 207
Number of other retired or separated participants entitled to future benefits 2009-01-01 175
Total of all active and inactive participants 2009-01-01 524
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 21
Total participants 2009-01-01 545
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: THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	506
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	1
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	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	520
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	91
Number of retired or separated participants receiving benefits	2012-01-01	211
Number of other retired or separated participants entitled to future benefits	2012-01-01	180
Total of all active and inactive participants	2012-01-01	482
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	24
Total participants	2012-01-01	506
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	532
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	106
Number of retired or separated participants receiving benefits	2011-01-01	215
Number of other retired or separated participants entitled to future benefits	2011-01-01	176
Total of all active and inactive participants	2011-01-01	497
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	23
Total participants	2011-01-01	520
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	552
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	142
Number of retired or separated participants receiving benefits	2009-01-01	207
Number of other retired or separated participants entitled to future benefits	2009-01-01	175
Total of all active and inactive participants	2009-01-01	524
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	21
Total participants	2009-01-01	545
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN

Measure	Date	Value
2013 : THE INDIANA MASONIC HOME EMPLOYEES' PENSION 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	$4,126,821
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	$4,744,394
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$21,281,472
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$21,202,073
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$5,776,037
Value of total assets at end of year	2013-12-31	$4,135,761
Value of total assets at beginning of year	2013-12-31	$16,546,018
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$79,399
Total interest from all sources	2013-12-31	$410
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
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
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
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
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$4,126,821
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	$-16,537,078
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$8,940
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$16,546,018
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
Investment advisory and management fees	2013-12-31	$79,399
Value of interest in common/collective trusts at beginning of year	2013-12-31	$16,638,476
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$4,113,071
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$-92,458
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$-92,458
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$410
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$4,126,821
Net investment gain or loss from common/collective trusts	2013-12-31	$-1,032,053
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
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
Contributions received in cash from employer	2013-12-31	$5,776,037
Employer contributions (assets) at end of year	2013-12-31	$22,690
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$17,075,252
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	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	KATZ, SAPPER & MILLER, LLP
Accountancy firm EIN	2013-12-31	351090346
2012 : THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total transfer of assets to this plan	2012-12-31	$0
Total transfer of assets from this plan	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	$2,333,203
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$1,221,901
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,125,838
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$0
Value of total assets at end of year	2012-12-31	$16,546,018
Value of total assets at beginning of year	2012-12-31	$15,434,716
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$96,063
Total interest from all sources	2012-12-31	$40
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2012-12-31	$0
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
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
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	$1,111,302
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$16,546,018
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$15,434,716
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
Investment advisory and management fees	2012-12-31	$96,063
Value of interest in common/collective trusts at end of year	2012-12-31	$16,638,476
Value of interest in common/collective trusts at beginning of year	2012-12-31	$12,392,974
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$-92,458
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$-63,245
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$-63,245
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$40
Net investment gain or loss from common/collective trusts	2012-12-31	$2,333,163
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
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
Employer contributions (assets) at beginning of year	2012-12-31	$3,104,987
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,125,838
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	KATZ, SAPPER & MILLER, LLP
Accountancy firm EIN	2012-12-31	351090346
2011 : THE INDIANA MASONIC HOME EMPLOYEES' PENSION 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	$2,947,790
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$1,246,133
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,120,827
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$3,419,948
Value of total assets at end of year	2011-12-31	$15,434,716
Value of total assets at beginning of year	2011-12-31	$13,733,059
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$125,306
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
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
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
Other income not declared elsewhere	2011-12-31	$9,685
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	$1,701,657
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$15,434,716
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$13,733,059
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	$125,306
Value of interest in common/collective trusts at end of year	2011-12-31	$12,392,974
Value of interest in common/collective trusts at beginning of year	2011-12-31	$13,716,815
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$-63,245
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$-56,028
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$-56,028
Net investment gain or loss from common/collective trusts	2011-12-31	$-481,843
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
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	$3,419,948
Employer contributions (assets) at end of year	2011-12-31	$3,104,987
Employer contributions (assets) at beginning of year	2011-12-31	$72,272
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,120,827
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	KATZ, SAPPER & MILLER, LLP
Accountancy firm EIN	2011-12-31	351090346
2010 : THE INDIANA MASONIC HOME EMPLOYEES' PENSION 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	$1,902,465
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,204,744
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,076,976
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$442,272
Value of total assets at end of year	2010-12-31	$13,733,059
Value of total assets at beginning of year	2010-12-31	$13,035,338
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$127,768
Total interest from all sources	2010-12-31	$4
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
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
Other income not declared elsewhere	2010-12-31	$1,330
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	$697,721
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$13,733,059
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$13,035,338
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	$127,768
Value of interest in common/collective trusts at end of year	2010-12-31	$13,716,815
Value of interest in common/collective trusts at beginning of year	2010-12-31	$12,839,717
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$-56,028
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$-58,379
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$-58,379
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$4
Net investment gain or loss from common/collective trusts	2010-12-31	$1,458,859
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
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	$442,272
Employer contributions (assets) at end of year	2010-12-31	$72,272
Employer contributions (assets) at beginning of year	2010-12-31	$254,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,076,976
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	KATZ, SAPPER & MILLER, LLP
Accountancy firm EIN	2010-12-31	351090346
2009 : THE INDIANA MASONIC HOME EMPLOYEES' PENSION 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 THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN

2013: THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Mulitple 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 – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Mulitple 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: THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Mulitple 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
2009: THE INDIANA MASONIC HOME EMPLOYEES' PENSION PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Mulitple 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

Potentially related plans

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Company Name:	INDIANA MASONIC HOME, INC.
Employer identification number (EIN):	352187477
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities