401k Plan data: PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3 plan

PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3 401k Plan overview

Plan Name	PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3
Plan identification number	001

PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3 Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

NORRIDGE GARDENS, LLC has sponsored the creation of one or more 401k plans.

Company Name: NORRIDGE GARDENS, LLC

Employer identification number (EIN): 463048216

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 BIJU KRISHNAN 2024-07-26
001 2022-01-01 BARAK BAVER 2023-07-10
001 2021-01-01 FLORA REZNIK 2022-10-12
001 2020-01-01
001 2019-01-01
001 2019-01-01
001 2018-01-01
001 2018-01-01
001 2017-01-01 BARAK BAVER
001 2017-01-01 BARAK BAVER
001 2017-01-01
001 2016-01-01 BARAK BAVER 2017-10-16
001 2015-01-01
001 2014-11-01 BARAK BAVER 2015-09-30

Plan Statistics for PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3

401k plan membership statisitcs for PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3

Measure Date Value
2020: PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3 2020 401k membership
Total participants, beginning-of-year 2020-01-01 90
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 69
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 6
Total of all active and inactive participants 2020-01-01 75
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 75
Number of participants with account balances 2020-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3 2019 401k membership
Total participants, beginning-of-year 2019-01-01 248
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 214
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 5
Total of all active and inactive participants 2019-01-01 219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 219
Number of participants with account balances 2019-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3 2018 401k membership
Total participants, beginning-of-year 2018-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 84
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 7
Total of all active and inactive participants 2018-01-01 91
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 91
Number of participants with account balances 2018-01-01 19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3 2017 401k membership
Total participants, beginning-of-year 2017-01-01 163
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 170
Number of retired or separated participants receiving benefits 2017-01-01 3
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 173
Number of participants with account balances 2017-01-01 20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0

Measure	Date	Value
2020: PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3 2020 401k membership
Total participants, beginning-of-year	2020-01-01	90
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	69
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	6
Total of all active and inactive participants	2020-01-01	75
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	75
Number of participants with account balances	2020-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3 2019 401k membership
Total participants, beginning-of-year	2019-01-01	248
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	214
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	5
Total of all active and inactive participants	2019-01-01	219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	219
Number of participants with account balances	2019-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3 2018 401k membership
Total participants, beginning-of-year	2018-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	84
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	7
Total of all active and inactive participants	2018-01-01	91
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	91
Number of participants with account balances	2018-01-01	19
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3 2017 401k membership
Total participants, beginning-of-year	2017-01-01	163
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	170
Number of retired or separated participants receiving benefits	2017-01-01	3
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	173
Number of participants with account balances	2017-01-01	20
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0

Financial Data on PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3

Measure	Date	Value
2020 : PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$30,804
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$34,998
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$31,095
Value of total corrective distributions	2020-12-31	$616
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$14,533
Value of total assets at end of year	2020-12-31	$132,710
Value of total assets at beginning of year	2020-12-31	$136,904
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$3,287
Total interest from all sources	2020-12-31	$129
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$5,817
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$5,817
Administrative expenses professional fees incurred	2020-12-31	$3,287
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$14,533
Participant contributions at end of year	2020-12-31	$1,091
Participant contributions at beginning of year	2020-12-31	$4,002
Other income not declared elsewhere	2020-12-31	$129
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$-4,194
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$132,710
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$136,904
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$128,710
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$130,564
Interest on participant loans	2020-12-31	$129
Value of interest in common/collective trusts at end of year	2020-12-31	$2,907
Value of interest in common/collective trusts at beginning of year	2020-12-31	$2,334
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$2
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$4
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$10,196
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$31,095
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
2019 : PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$54,288
Total income from all sources (including contributions)	2019-12-31	$54,288
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$130,865
Total of all expenses incurred	2019-12-31	$130,865
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$127,181
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$127,181
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$22,405
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$22,405
Value of total assets at end of year	2019-12-31	$136,904
Value of total assets at end of year	2019-12-31	$136,904
Value of total assets at beginning of year	2019-12-31	$213,481
Value of total assets at beginning of year	2019-12-31	$213,481
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$3,684
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$3,684
Total interest from all sources	2019-12-31	$284
Total interest from all sources	2019-12-31	$284
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$9,117
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$9,117
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$9,117
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$9,117
Administrative expenses professional fees incurred	2019-12-31	$3,684
Administrative expenses professional fees incurred	2019-12-31	$3,684
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$22,405
Contributions received from participants	2019-12-31	$22,405
Participant contributions at end of year	2019-12-31	$4,002
Participant contributions at end of year	2019-12-31	$4,002
Participant contributions at beginning of year	2019-12-31	$6,841
Participant contributions at beginning of year	2019-12-31	$6,841
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$56
Other income not declared elsewhere	2019-12-31	$247
Other income not declared elsewhere	2019-12-31	$247
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	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	2019-12-31	No
Value of net income/loss	2019-12-31	$-76,577
Value of net income/loss	2019-12-31	$-76,577
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$136,904
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$136,904
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$213,481
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$213,481
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$130,564
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$130,564
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$187,198
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$187,198
Value of interest in pooled separate accounts at end of year	2019-12-31	$132,898
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$206,635
Interest on participant loans	2019-12-31	$284
Interest on participant loans	2019-12-31	$284
Value of interest in common/collective trusts at end of year	2019-12-31	$2,334
Value of interest in common/collective trusts at end of year	2019-12-31	$2,334
Value of interest in common/collective trusts at beginning of year	2019-12-31	$19,436
Value of interest in common/collective trusts at beginning of year	2019-12-31	$19,436
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$4
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$4
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$6
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$6
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$22,235
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$22,235
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$127,181
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$127,181
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	WIPFLI, LLP
Accountancy firm EIN	2019-12-31	390758449
2018 : PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$25,448
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$36,371
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$33,360
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$27,318
Value of total assets at end of year	2018-12-31	$213,481
Value of total assets at beginning of year	2018-12-31	$224,404
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$3,011
Total interest from all sources	2018-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$18,577
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$18,577
Administrative expenses professional fees incurred	2018-12-31	$3,011
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$27,318
Participant contributions at end of year	2018-12-31	$6,841
Participant contributions at beginning of year	2018-12-31	$0
Participant contributions at end of year	2018-12-31	$56
Participant contributions at beginning of year	2018-12-31	$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	2018-12-31	No
Value of net income/loss	2018-12-31	$-10,923
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$213,481
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$224,404
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$187,198
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$202,580
Value of interest in pooled separate accounts at end of year	2018-12-31	$206,635
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$0
Value of interest in common/collective trusts at end of year	2018-12-31	$19,436
Value of interest in common/collective trusts at beginning of year	2018-12-31	$21,817
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$6
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$7
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-20,447
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$33,360
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-12-31	No
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	PLANTE & MORAN, PLLC
Accountancy firm EIN	2018-12-31	381357951
2017 : PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$79,201
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$31,989
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$27,826
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$50,264
Value of total assets at end of year	2017-12-31	$224,404
Value of total assets at beginning of year	2017-12-31	$177,192
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$4,163
Total interest from all sources	2017-12-31	$319
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$10,707
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$10,707
Administrative expenses professional fees incurred	2017-12-31	$4,163
Was this plan covered by a fidelity bond	2017-12-31	No
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$50,264
Participant contributions at end of year	2017-12-31	$0
Participant contributions at beginning of year	2017-12-31	$3,565
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$47,212
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$224,404
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$177,192
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$202,580
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$156,879
Income. Interest from loans (other than to participants)	2017-12-31	$319
Value of interest in common/collective trusts at end of year	2017-12-31	$21,817
Value of interest in common/collective trusts at beginning of year	2017-12-31	$16,571
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$7
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$177
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$17,911
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$27,826
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	No
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	PLANTE & MORAN, PLLC
Accountancy firm EIN	2017-12-31	381357951

Form 5500 Responses for PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3

2020: PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 3 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	Yes
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

GA-835266

Policy instance

Insurance contract or identification number	GA-835266
Number of Individuals Covered	13
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $501
Total amount of fees paid to insurance company	USD $62
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $501
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSION
Insurance broker organization code?	5

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

GA-835266

Policy instance

Insurance contract or identification number	GA-835266
Number of Individuals Covered	13
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $463
Total amount of fees paid to insurance company	USD $85
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $463
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSION
Insurance broker organization code?	5

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

GA-835266

Policy instance

Insurance contract or identification number	GA-835266
Number of Individuals Covered	19
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $903
Total amount of fees paid to insurance company	USD $86
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $903
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSION
Insurance broker organization code?	5

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )

Policy contract number

GA-835266

Policy instance

Insurance contract or identification number	GA-835266
Number of Individuals Covered	20
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $977
Total amount of fees paid to insurance company	USD $122
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $810
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSION
Insurance broker organization code?	5
Insurance broker name	DYATECH, LLC

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The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
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See full terms and conditions

Company Name:	NORRIDGE GARDENS, LLC
Employer identification number (EIN):	463048216
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2023-01-01	BIJU KRISHNAN	2024-07-26
001	2022-01-01	BARAK BAVER	2023-07-10
001	2021-01-01	FLORA REZNIK	2022-10-12
001	2020-01-01
001	2019-01-01
001	2019-01-01
001	2018-01-01
001	2018-01-01
001	2017-01-01	BARAK BAVER
001	2017-01-01	BARAK BAVER
001	2017-01-01
001	2016-01-01	BARAK BAVER	2017-10-16
001	2015-01-01
001	2014-11-01	BARAK BAVER	2015-09-30