GROUP TERM LIFE, AD&D, DLF, SPLF, STD AND LTD 401k Plan overview

GROUP TERM LIFE, AD&D, DLF, SPLF, STD AND LTD Benefits

401k Sponsoring company profile

Company Name:	PRESBYTERIAN MANORS OF MID-AMERICA, INC.
Employer identification number (EIN):	480877587
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2009-01-01	BRUCE H SHOGREN		BRUCE H SHOGREN	2010-10-11

Plan Statistics for GROUP TERM LIFE, AD&D, DLF, SPLF, STD AND LTD

Measure	Date	Value
2009: GROUP TERM LIFE, AD&D, DLF, SPLF, STD AND LTD 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,179
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,247
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	0
Total of all active and inactive participants	2009-01-01	1,247
Total participants	2009-01-01	0

Form 5500 Responses for GROUP TERM LIFE, AD&D, DLF, SPLF, STD AND LTD

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