HEALTH REIMBURSEMENT 401k Plan overview

HEALTH REIMBURSEMENT Benefits

401k Sponsoring company profile

Company Name:	MIRAVIDA LIVING, INC.
Employer identification number (EIN):	391032234
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
506	2009-01-01	PATRICIA KUFEL EBBEN

Plan Statistics for HEALTH REIMBURSEMENT

Measure	Date	Value
2009: HEALTH REIMBURSEMENT 2009 401k membership
Total participants, beginning-of-year	2009-01-01	136
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	145
Total of all active and inactive participants	2009-01-01	145
Total participants	2009-01-01	145

Form 5500 Responses for HEALTH REIMBURSEMENT

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