401k Plan data: SCOTT COUNTY REST HOME INC. DBA PARK LANE NURSING HOME EMPLOYEES PENSION PLAN plan

SCOTT COUNTY REST HOME INC. DBA PARK LANE NURSING HOME EMPLOYEES PENSION PLAN 401k Plan overview

Plan Name	SCOTT COUNTY REST HOME INC. DBA PARK LANE NURSING HOME EMPLOYEES PENSION PLAN
Plan identification number	001

SCOTT COUNTY REST HOME INC. DBA PARK LANE NURSING HOME EMPLOYEES PENSION PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Money purchase (other than target benefit)
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(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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan covering Self-Employed individuals.
Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.

401k Sponsoring company profile

SCOTT COUNTY REST HOME INC. has sponsored the creation of one or more 401k plans.

Company Name: SCOTT COUNTY REST HOME INC.

Employer identification number (EIN): 480725157

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SCOTT COUNTY REST HOME INC. DBA PARK LANE NURSING HOME EMPLOYEES PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 ERIC HUEBERT 2024-10-08
001 2022-01-01 SUNNI SMYTH 2023-10-09
001 2021-01-01 SUNNI SMYTH 2022-09-21
001 2020-01-01 APRIL BERGNER 2021-05-13 ANDIE STRONG 2021-08-04
001 2019-01-01 APRIL BERGNER 2020-06-30
001 2018-01-01 APRIL BERGNER 2019-10-10
001 2017-01-01 NIKKI COOPER 2018-10-02
001 2016-01-01 NIKKI COOPER 2017-07-05
001 2015-01-01 NIKKI COOPER 2016-06-01
001 2014-01-01 NIKKI J. COOPER 2015-08-25 NIKKI J. COOPER 2015-08-25
001 2013-01-01 NIKKI J. COOPER 2014-10-07 NIKKI J. COOPER 2014-10-07
001 2012-01-01 NICOLE TURNER 2013-10-15 NIKKI J. COOPER 2013-10-15
001 2011-01-01 NICOLE TURNER 2012-10-15 NIKKI J. COOPER 2012-10-15
001 2010-01-01 NIKKI J. COOPER 2011-09-27 NIKKI J. COOPER 2011-09-27

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01	ERIC HUEBERT	2024-10-08
001	2022-01-01	SUNNI SMYTH	2023-10-09
001	2021-01-01	SUNNI SMYTH	2022-09-21
001	2020-01-01	APRIL BERGNER	2021-05-13	ANDIE STRONG	2021-08-04
001	2019-01-01	APRIL BERGNER	2020-06-30
001	2018-01-01	APRIL BERGNER	2019-10-10
001	2017-01-01	NIKKI COOPER	2018-10-02
001	2016-01-01	NIKKI COOPER	2017-07-05
001	2015-01-01	NIKKI COOPER	2016-06-01
001	2014-01-01	NIKKI J. COOPER	2015-08-25	NIKKI J. COOPER	2015-08-25
001	2013-01-01	NIKKI J. COOPER	2014-10-07	NIKKI J. COOPER	2014-10-07
001	2012-01-01	NICOLE TURNER	2013-10-15	NIKKI J. COOPER	2013-10-15
001	2011-01-01	NICOLE TURNER	2012-10-15	NIKKI J. COOPER	2012-10-15
001	2010-01-01	NIKKI J. COOPER	2011-09-27	NIKKI J. COOPER	2011-09-27

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Company Name:	SCOTT COUNTY REST HOME INC.
Employer identification number (EIN):	480725157
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities