401k Plan data: 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME plan

403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME 401k Plan overview

Plan Name	403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME
Plan identification number	003

403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

CHRISTIAN CARE HOME has sponsored the creation of one or more 401k plans.

Company Name: CHRISTIAN CARE HOME

Employer identification number (EIN): 430653281

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2013-01-01 JOSEPH WILDER JOSEPH WILDER 2014-08-14
003 2012-01-01 JOSEPH WILDER
003 2011-01-01 JOSEPH WILDER
003 2009-01-01 JOSEPH WILDER

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
003	2013-01-01	JOSEPH WILDER	JOSEPH WILDER	2014-08-14
003	2012-01-01	JOSEPH WILDER
003	2011-01-01	JOSEPH WILDER
003	2009-01-01	JOSEPH WILDER

Plan Statistics for 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME

401k plan membership statisitcs for 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME

Measure Date Value
2013: 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME 2013 401k membership
Total participants, beginning-of-year 2013-01-01 160
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 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME 2012 401k membership
Total participants, beginning-of-year 2012-01-01 170
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 160
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 17
Total of all active and inactive participants 2012-01-01 177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 177
Number of participants with account balances 2012-01-01 31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME 2011 401k membership
Total participants, beginning-of-year 2011-01-01 170
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 170
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 16
Total of all active and inactive participants 2011-01-01 186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 186
Number of participants with account balances 2011-01-01 26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2009: 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME 2009 401k membership
Total participants, beginning-of-year 2009-01-01 137
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 15
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 19
Total of all active and inactive participants 2009-01-01 34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 35
Number of participants with account balances 2009-01-01 34

Measure	Date	Value
2013: 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME 2013 401k membership
Total participants, beginning-of-year	2013-01-01	160
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	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME 2012 401k membership
Total participants, beginning-of-year	2012-01-01	170
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	160
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	17
Total of all active and inactive participants	2012-01-01	177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	177
Number of participants with account balances	2012-01-01	31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME 2011 401k membership
Total participants, beginning-of-year	2011-01-01	170
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	170
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	16
Total of all active and inactive participants	2011-01-01	186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	186
Number of participants with account balances	2011-01-01	26
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2009: 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME 2009 401k membership
Total participants, beginning-of-year	2009-01-01	137
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	15
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	19
Total of all active and inactive participants	2009-01-01	34
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	35
Number of participants with account balances	2009-01-01	34

Financial Data on 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME

Measure	Date	Value
2013 : 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-10-31	$0
Total transfer of assets from this plan	2013-10-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-10-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-10-31	$0
Total income from all sources (including contributions)	2013-10-31	$36,949
Total loss/gain on sale of assets	2013-10-31	$0
Total of all expenses incurred	2013-10-31	$301,993
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-10-31	$301,640
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-10-31	$21,282
Value of total assets at end of year	2013-10-31	$0
Value of total assets at beginning of year	2013-10-31	$265,044
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-10-31	$353
Total interest from all sources	2013-10-31	$1,915
Total dividends received (eg from common stock, registered investment company shares)	2013-10-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-10-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2013-10-31	$0
Was this plan covered by a fidelity bond	2013-10-31	Yes
Value of fidelity bond cover	2013-10-31	$250,000
If this is an individual account plan, was there a blackout period	2013-10-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-10-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-10-31	No
Contributions received from participants	2013-10-31	$12,636
Participant contributions at end of year	2013-10-31	$0
Participant contributions at beginning of year	2013-10-31	$383
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-10-31	$0
Administrative expenses (other) incurred	2013-10-31	$353
Liabilities. Value of operating payables at end of year	2013-10-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-10-31	No
Value of net income/loss	2013-10-31	$-265,044
Value of net assets at end of year (total assets less liabilities)	2013-10-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2013-10-31	$265,044
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-10-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-10-31	No
Were any leases to which the plan was party in default or uncollectible	2013-10-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-10-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-10-31	$65,423
Interest earned on other investments	2013-10-31	$1,915
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-10-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-10-31	$198,146
Expenses. Payments to insurance carriers foe the provision of benefits	2013-10-31	$0
Net investment gain/loss from pooled separate accounts	2013-10-31	$13,752
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-10-31	No
Was there a failure to transmit to the plan any participant contributions	2013-10-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-10-31	No
Contributions received in cash from employer	2013-10-31	$8,646
Employer contributions (assets) at end of year	2013-10-31	$0
Employer contributions (assets) at beginning of year	2013-10-31	$1,092
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-10-31	$301,640
Liabilities. Value of benefit claims payable at end of year	2013-10-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2013-10-31	$0
Did the plan have assets held for investment	2013-10-31	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	2013-10-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-10-31	Yes
Liabilities. Value of acquisition indebtedness at end of year	2013-10-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-10-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-10-31	Disclaimer
Accountancy firm name	2013-10-31	RUBINBROWN, LLP
Accountancy firm EIN	2013-10-31	043076531
2012 : 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME 2012 401k financial data
Total unrealized appreciation/depreciation of assets	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	$38,431
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$21,115
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$20,834
Expenses. Certain deemed distributions of participant loans	2012-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$27,542
Value of total assets at end of year	2012-12-31	$265,044
Value of total assets at beginning of year	2012-12-31	$247,728
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$281
Total interest from all sources	2012-12-31	$3,087
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	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$250,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
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
Contributions received from participants	2012-12-31	$15,697
Participant contributions at end of year	2012-12-31	$0
Participant contributions at beginning of year	2012-12-31	$0
Participant contributions at end of year	2012-12-31	$383
Participant contributions at beginning of year	2012-12-31	$548
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$0
Other income not declared elsewhere	2012-12-31	$0
Administrative expenses (other) incurred	2012-12-31	$281
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	$17,316
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$265,044
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$247,728
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$65,423
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$60,533
Interest on participant loans	2012-12-31	$0
Interest earned on other investments	2012-12-31	$3,087
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$198,146
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$185,668
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$0
Net investment gain/loss from pooled separate accounts	2012-12-31	$7,802
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$11,845
Employer contributions (assets) at end of year	2012-12-31	$1,092
Employer contributions (assets) at beginning of year	2012-12-31	$979
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$20,834
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	RUBIN BROWN
Accountancy firm EIN	2012-12-31	043076531
2011 : 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME 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	$26,170
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$39,966
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$39,573
Expenses. Certain deemed distributions of participant loans	2011-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$24,371
Value of total assets at end of year	2011-12-31	$247,728
Value of total assets at beginning of year	2011-12-31	$261,524
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$393
Total interest from all sources	2011-12-31	$3,615
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	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$250,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
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
Contributions received from participants	2011-12-31	$15,065
Participant contributions at end of year	2011-12-31	$0
Participant contributions at beginning of year	2011-12-31	$0
Participant contributions at end of year	2011-12-31	$548
Participant contributions at beginning of year	2011-12-31	$685
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$0
Other income not declared elsewhere	2011-12-31	$0
Administrative expenses (other) incurred	2011-12-31	$393
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	$-13,796
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$247,728
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$261,524
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$60,533
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$78,184
Interest on participant loans	2011-12-31	$0
Interest earned on other investments	2011-12-31	$3,615
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$185,668
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$182,333
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$0
Net investment gain/loss from pooled separate accounts	2011-12-31	$-1,816
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	Yes
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	$9,306
Employer contributions (assets) at end of year	2011-12-31	$979
Employer contributions (assets) at beginning of year	2011-12-31	$322
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$39,573
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	RUBIN BROWN
Accountancy firm EIN	2011-12-31	043076531
2010 : 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME 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	$45,266
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$40,878
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$40,479
Expenses. Certain deemed distributions of participant loans	2010-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$29,997
Value of total assets at end of year	2010-12-31	$261,524
Value of total assets at beginning of year	2010-12-31	$257,136
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$399
Total interest from all sources	2010-12-31	$4,824
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	$250,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
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
Contributions received from participants	2010-12-31	$19,610
Participant contributions at end of year	2010-12-31	$0
Participant contributions at beginning of year	2010-12-31	$0
Participant contributions at end of year	2010-12-31	$685
Participant contributions at beginning of year	2010-12-31	$1,754
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$0
Other income not declared elsewhere	2010-12-31	$0
Administrative expenses (other) incurred	2010-12-31	$399
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	$4,388
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$261,524
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$257,136
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$78,184
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$83,053
Interest on participant loans	2010-12-31	$0
Interest earned on other investments	2010-12-31	$4,824
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$182,333
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$171,288
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$0
Net investment gain/loss from pooled separate accounts	2010-12-31	$10,445
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	Yes
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	$10,387
Employer contributions (assets) at end of year	2010-12-31	$322
Employer contributions (assets) at beginning of year	2010-12-31	$1,041
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$40,479
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	RUBIN BROWN
Accountancy firm EIN	2010-12-31	430765316
2009 : 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME 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 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME

2013: 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME 2012 form 5500 responses
2012-01-01	Type of plan entity	Single 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 – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
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 benefit arrangement – Insurance	Yes
2009: 403 (B) THRIFT PLAN OF CHRISTIAN CARE HOME 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
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 – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	CHRISTIAN CARE HOME
Employer identification number (EIN):	430653281
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities