401k Plan data: ALEXIAN BROTHERS SENIOR MINISTRIES WELFARE PLAN plan

ALEXIAN BROTHERS SENIOR MINISTRIES WELFARE PLAN 401k Plan overview

Plan Name	ALEXIAN BROTHERS SENIOR MINISTRIES WELFARE PLAN
Plan identification number	501

ALEXIAN BROTHERS SENIOR MINISTRIES WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Supplemental unemployment Dental Vision Other welfare benefit cover

401k Sponsoring company profile

ALEXIAN BROTHERS SENIOR MINISTRIES has sponsored the creation of one or more 401k plans.

Company Name: ALEXIAN BROTHERS SENIOR MINISTRIES

Employer identification number (EIN): 364484290

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALEXIAN BROTHERS SENIOR MINISTRIES WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-11-01 BRIAN WIEKRYKAS
501 2012-11-01 BRIAN WIEKRYKAS
501 2011-11-01 BRIAN WIEKRYKAS
501 2010-11-01 KEITH CONBOY

Plan id#	Filing Submission Date	Name of Administrator
501	2013-11-01	BRIAN WIEKRYKAS
501	2012-11-01	BRIAN WIEKRYKAS
501	2011-11-01	BRIAN WIEKRYKAS
501	2010-11-01	KEITH CONBOY

Plan Statistics for ALEXIAN BROTHERS SENIOR MINISTRIES WELFARE PLAN

401k plan membership statisitcs for ALEXIAN BROTHERS SENIOR MINISTRIES WELFARE PLAN

Measure Date Value
2013: ALEXIAN BROTHERS SENIOR MINISTRIES WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-11-01 640
Total number of active participants reported on line 7a of the Form 5500 2013-11-01 632
Total of all active and inactive participants 2013-11-01 632
Total participants 2013-11-01 0
2012: ALEXIAN BROTHERS SENIOR MINISTRIES WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-11-01 657
Total number of active participants reported on line 7a of the Form 5500 2012-11-01 640
Total of all active and inactive participants 2012-11-01 640
Total participants 2012-11-01 0
2011: ALEXIAN BROTHERS SENIOR MINISTRIES WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-11-01 734
Total number of active participants reported on line 7a of the Form 5500 2011-11-01 657
Total of all active and inactive participants 2011-11-01 657
Total participants 2011-11-01 657
2010: ALEXIAN BROTHERS SENIOR MINISTRIES WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-11-01 734
Total number of active participants reported on line 7a of the Form 5500 2010-11-01 734
Total of all active and inactive participants 2010-11-01 734
Total participants 2010-11-01 734

Measure	Date	Value
2013: ALEXIAN BROTHERS SENIOR MINISTRIES WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-11-01	640
Total number of active participants reported on line 7a of the Form 5500	2013-11-01	632
Total of all active and inactive participants	2013-11-01	632
Total participants	2013-11-01	0
2012: ALEXIAN BROTHERS SENIOR MINISTRIES WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-11-01	657
Total number of active participants reported on line 7a of the Form 5500	2012-11-01	640
Total of all active and inactive participants	2012-11-01	640
Total participants	2012-11-01	0
2011: ALEXIAN BROTHERS SENIOR MINISTRIES WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-11-01	734
Total number of active participants reported on line 7a of the Form 5500	2011-11-01	657
Total of all active and inactive participants	2011-11-01	657
Total participants	2011-11-01	657
2010: ALEXIAN BROTHERS SENIOR MINISTRIES WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-11-01	734
Total number of active participants reported on line 7a of the Form 5500	2010-11-01	734
Total of all active and inactive participants	2010-11-01	734
Total participants	2010-11-01	734

Form 5500 Responses for ALEXIAN BROTHERS SENIOR MINISTRIES WELFARE PLAN

2013: ALEXIAN BROTHERS SENIOR MINISTRIES WELFARE PLAN 2013 form 5500 responses
2013-11-01	Type of plan entity	Single employer plan
2013-11-01	This submission is the final filing	Yes
2013-11-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-11-01	Plan funding arrangement – Insurance	Yes
2013-11-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-11-01	Plan benefit arrangement – Insurance	Yes
2013-11-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: ALEXIAN BROTHERS SENIOR MINISTRIES WELFARE PLAN 2012 form 5500 responses
2012-11-01	Type of plan entity	Single employer plan
2012-11-01	Plan funding arrangement – Insurance	Yes
2012-11-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-11-01	Plan benefit arrangement – Insurance	Yes
2012-11-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: ALEXIAN BROTHERS SENIOR MINISTRIES WELFARE PLAN 2011 form 5500 responses
2011-11-01	Type of plan entity	Single employer plan
2011-11-01	Plan funding arrangement – Insurance	Yes
2011-11-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-11-01	Plan benefit arrangement – Insurance	Yes
2011-11-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: ALEXIAN BROTHERS SENIOR MINISTRIES WELFARE PLAN 2010 form 5500 responses
2010-11-01	Type of plan entity	Single employer plan
2010-11-01	First time form 5500 has been submitted	Yes
2010-11-01	Plan funding arrangement – Insurance	Yes
2010-11-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-11-01	Plan benefit arrangement – Insurance	Yes
2010-11-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	ALEXIAN BROTHERS SENIOR MINISTRIES
Employer identification number (EIN):	364484290
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities