401k Plan data: LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN plan

LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 401k Plan overview

Plan Name	LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN
Plan identification number	001

LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

LUTHERAN SERVICES FOR THE AGING INC has sponsored the creation of one or more 401k plans.

Company Name: LUTHERAN SERVICES FOR THE AGING INC

Employer identification number (EIN): 560752160

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

Additional information about LUTHERAN SERVICES FOR THE AGING INC

Jurisdiction of Incorporation: North Carolina Secretary of State

Incorporation Date:

Company Identification Number: 0104568

More information about LUTHERAN SERVICES FOR THE AGING INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 KIRBY NICKERSON KIRBY NICKERSON 2015-10-13
001 2013-01-01 KIRBY NICKERSON KIRBY NICKERSON 2014-12-31
001 2012-01-01 KIRBY NICKERSON
001 2011-01-01 KESHA SMITH
001 2010-01-01 ANNETTE CONRAD
001 2009-01-01 ANNETTE CONRAD

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	KIRBY NICKERSON	KIRBY NICKERSON	2015-10-13
001	2013-01-01	KIRBY NICKERSON	KIRBY NICKERSON	2014-12-31
001	2012-01-01	KIRBY NICKERSON
001	2011-01-01	KESHA SMITH
001	2010-01-01	ANNETTE CONRAD
001	2009-01-01	ANNETTE CONRAD

Plan Statistics for LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN

401k plan membership statisitcs for LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN

Measure Date Value
2014: LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,110
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 924
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 85
Total of all active and inactive participants 2014-01-01 1,009
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 1,009
Number of participants with account balances 2014-01-01 331
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 7
2013: LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 998
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 968
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 89
Total of all active and inactive participants 2013-01-01 1,057
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1,057
Number of participants with account balances 2013-01-01 337
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 10
2012: LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 896
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 859
Number of retired or separated participants receiving benefits 2012-01-01 1
Number of other retired or separated participants entitled to future benefits 2012-01-01 82
Total of all active and inactive participants 2012-01-01 942
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 943
Number of participants with account balances 2012-01-01 332
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 16
2011: LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 874
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 789
Number of retired or separated participants receiving benefits 2011-01-01 2
Number of other retired or separated participants entitled to future benefits 2011-01-01 71
Total of all active and inactive participants 2011-01-01 862
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 863
Number of participants with account balances 2011-01-01 326
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 14
2010: LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 901
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 762
Number of retired or separated participants receiving benefits 2010-01-01 4
Number of other retired or separated participants entitled to future benefits 2010-01-01 67
Total of all active and inactive participants 2010-01-01 833
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 1
Total participants 2010-01-01 834
Number of participants with account balances 2010-01-01 318
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 8
2009: LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 831
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 774
Number of retired or separated participants receiving benefits 2009-01-01 1
Number of other retired or separated participants entitled to future benefits 2009-01-01 73
Total of all active and inactive participants 2009-01-01 848
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 848
Number of participants with account balances 2009-01-01 325
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 10

Measure	Date	Value
2014: LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,110
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	924
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	85
Total of all active and inactive participants	2014-01-01	1,009
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	1,009
Number of participants with account balances	2014-01-01	331
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	7
2013: LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	998
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	968
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	89
Total of all active and inactive participants	2013-01-01	1,057
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1,057
Number of participants with account balances	2013-01-01	337
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	10
2012: LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	896
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	859
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	82
Total of all active and inactive participants	2012-01-01	942
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	943
Number of participants with account balances	2012-01-01	332
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	16
2011: LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	874
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	789
Number of retired or separated participants receiving benefits	2011-01-01	2
Number of other retired or separated participants entitled to future benefits	2011-01-01	71
Total of all active and inactive participants	2011-01-01	862
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	863
Number of participants with account balances	2011-01-01	326
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	14
2010: LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	901
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	762
Number of retired or separated participants receiving benefits	2010-01-01	4
Number of other retired or separated participants entitled to future benefits	2010-01-01	67
Total of all active and inactive participants	2010-01-01	833
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	1
Total participants	2010-01-01	834
Number of participants with account balances	2010-01-01	318
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	8
2009: LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	831
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	774
Number of retired or separated participants receiving benefits	2009-01-01	1
Number of other retired or separated participants entitled to future benefits	2009-01-01	73
Total of all active and inactive participants	2009-01-01	848
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	848
Number of participants with account balances	2009-01-01	325
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	10

Financial Data on LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN

Measure	Date	Value
2014 : LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total transfer of assets to this plan	2014-12-31	$0
Total transfer of assets from this plan	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$826,940
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$617,530
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$612,021
Expenses. Certain deemed distributions of participant loans	2014-12-31	$111
Value of total corrective distributions	2014-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$535,047
Value of total assets at end of year	2014-12-31	$5,460,343
Value of total assets at beginning of year	2014-12-31	$5,250,933
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$5,398
Total interest from all sources	2014-12-31	$6,447
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$191,218
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$191,218
Administrative expenses professional fees incurred	2014-12-31	$5,398
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$380,325
Participant contributions at end of year	2014-12-31	$162,444
Participant contributions at beginning of year	2014-12-31	$126,605
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$3,768
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$27,639
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$209,410
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$5,460,343
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$5,250,933
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$5,297,899
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$5,119,447
Interest on participant loans	2014-12-31	$6,149
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$298
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$94,228
Net investment gain or loss from common/collective trusts	2014-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$127,083
Employer contributions (assets) at end of year	2014-12-31	$0
Employer contributions (assets) at beginning of year	2014-12-31	$1,113
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$612,021
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	DAVIDSON,HOLLAND,WHITESELL& CO PLLC
Accountancy firm EIN	2014-12-31	561706742
2013 : LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$1,337,835
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$288,162
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$282,314
Expenses. Certain deemed distributions of participant loans	2013-12-31	$1,221
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$514,257
Value of total assets at end of year	2013-12-31	$5,250,933
Value of total assets at beginning of year	2013-12-31	$4,201,260
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$4,627
Total interest from all sources	2013-12-31	$5,665
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$115,059
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$115,059
Administrative expenses professional fees incurred	2013-12-31	$4,627
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$351,496
Participant contributions at end of year	2013-12-31	$126,605
Participant contributions at beginning of year	2013-12-31	$107,736
Participant contributions at end of year	2013-12-31	$3,768
Participant contributions at beginning of year	2013-12-31	$11,546
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$40,173
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$1,049,673
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$5,250,933
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$4,201,260
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$5,119,447
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$4,077,417
Interest on participant loans	2013-12-31	$5,503
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$162
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$702,854
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$122,588
Employer contributions (assets) at end of year	2013-12-31	$1,113
Employer contributions (assets) at beginning of year	2013-12-31	$4,561
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$282,314
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	2013-12-31	No
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	DAVIDSON,HOLLAND,WHITESELL &CO PLLC
Accountancy firm EIN	2013-12-31	561706742
2012 : LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 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	$834,067
Total loss/gain on sale of assets	2012-12-31	$18,019
Total of all expenses incurred	2012-12-31	$312,016
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$309,099
Expenses. Certain deemed distributions of participant loans	2012-12-31	$2,417
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$446,334
Value of total assets at end of year	2012-12-31	$4,201,260
Value of total assets at beginning of year	2012-12-31	$3,679,209
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$500
Total interest from all sources	2012-12-31	$3,534
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$81,029
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$81,029
Assets. Real estate other than employer real property at end of year	2012-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2012-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2012-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2012-12-31	$0
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	Yes
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	$314,260
Participant contributions at end of year	2012-12-31	$107,736
Participant contributions at beginning of year	2012-12-31	$101,858
Participant contributions at end of year	2012-12-31	$11,546
Participant contributions at beginning of year	2012-12-31	$11,387
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$10,263
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$142
Assets. Loans (other than to participants) at end of year	2012-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2012-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$0
Liabilities. Value of operating payables at end of year	2012-12-31	$0
Liabilities. Value of operating payables at beginning of year	2012-12-31	$0
Total non interest bearing cash at end of year	2012-12-31	$0
Total non interest bearing cash at beginning of year	2012-12-31	$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	2012-12-31	No
Value of net income/loss	2012-12-31	$522,051
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$4,201,260
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$3,679,209
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
Assets. partnership/joint venture interests at end of year	2012-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2012-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$4,077,417
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$3,561,237
Interest on participant loans	2012-12-31	$3,534
Value of interest in master investment trust accounts at end of year	2012-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2012-12-31	$0
Value of interest in common/collective trusts at end of year	2012-12-31	$0
Value of interest in common/collective trusts at beginning of year	2012-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2012-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2012-12-31	$0
Asset value of US Government securities at end of year	2012-12-31	$0
Asset value of US Government securities at beginning of year	2012-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$285,151
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	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Assets. Invements in employer securities at end of year	2012-12-31	$0
Assets. Invements in employer securities at beginning of year	2012-12-31	$0
Assets. Value of employer real property at end of year	2012-12-31	$0
Assets. Value of employer real property at beginning of year	2012-12-31	$0
Contributions received in cash from employer	2012-12-31	$121,811
Employer contributions (assets) at end of year	2012-12-31	$4,561
Employer contributions (assets) at beginning of year	2012-12-31	$4,585
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$309,099
Asset. Corporate debt instrument preferred debt at end of year	2012-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2012-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2012-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2012-12-31	$0
Contract administrator fees	2012-12-31	$500
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	2012-12-31	Yes
Assets. Corporate common stocks other than exployer securities at end of year	2012-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2012-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2012-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2012-12-31	$0
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
Aggregate proceeds on sale of assets	2012-12-31	$503,599
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$485,580
Liabilities. Value of acquisition indebtedness at end of year	2012-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2012-12-31	$0
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	ADAMS, BROWN, BERAN & BALL CHTD.
Accountancy firm EIN	2012-12-31	481040139
2011 : LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 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	$504,409
Total loss/gain on sale of assets	2011-12-31	$7,542
Total of all expenses incurred	2011-12-31	$454,514
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$419,761
Expenses. Certain deemed distributions of participant loans	2011-12-31	$34,503
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$462,909
Value of total assets at end of year	2011-12-31	$3,679,209
Value of total assets at beginning of year	2011-12-31	$3,629,314
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$250
Total interest from all sources	2011-12-31	$4,359
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$73,765
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$73,765
Assets. Real estate other than employer real property at end of year	2011-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2011-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2011-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2011-12-31	$0
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
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	$349,230
Participant contributions at end of year	2011-12-31	$101,858
Participant contributions at beginning of year	2011-12-31	$117,455
Participant contributions at end of year	2011-12-31	$11,387
Participant contributions at beginning of year	2011-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$142
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$0
Assets. Loans (other than to participants) at end of year	2011-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2011-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$0
Liabilities. Value of operating payables at end of year	2011-12-31	$0
Liabilities. Value of operating payables at beginning of year	2011-12-31	$0
Total non interest bearing cash at end of year	2011-12-31	$0
Total non interest bearing cash at beginning of year	2011-12-31	$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	2011-12-31	No
Value of net income/loss	2011-12-31	$49,895
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,679,209
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$3,629,314
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
Assets. partnership/joint venture interests at end of year	2011-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2011-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$3,561,237
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$3,511,859
Interest on participant loans	2011-12-31	$4,359
Value of interest in master investment trust accounts at end of year	2011-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2011-12-31	$0
Value of interest in common/collective trusts at end of year	2011-12-31	$0
Value of interest in common/collective trusts at beginning of year	2011-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2011-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2011-12-31	$0
Asset value of US Government securities at end of year	2011-12-31	$0
Asset value of US Government securities at beginning of year	2011-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-44,166
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	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Assets. Invements in employer securities at end of year	2011-12-31	$0
Assets. Invements in employer securities at beginning of year	2011-12-31	$0
Assets. Value of employer real property at end of year	2011-12-31	$0
Assets. Value of employer real property at beginning of year	2011-12-31	$0
Contributions received in cash from employer	2011-12-31	$113,679
Employer contributions (assets) at end of year	2011-12-31	$4,585
Employer contributions (assets) at beginning of year	2011-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$419,761
Asset. Corporate debt instrument preferred debt at end of year	2011-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2011-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2011-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2011-12-31	$0
Contract administrator fees	2011-12-31	$250
Assets. Corporate common stocks other than exployer securities at end of year	2011-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2011-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2011-12-31	$0
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
Aggregate proceeds on sale of assets	2011-12-31	$1,013,421
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$1,005,879
Liabilities. Value of acquisition indebtedness at end of year	2011-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2011-12-31	$0
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	ADAMS, BROWN, BERAN & BALL CHTD.
Accountancy firm EIN	2011-12-31	481040139
2010 : LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 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	$603,333
Total loss/gain on sale of assets	2010-12-31	$6,624
Total of all expenses incurred	2010-12-31	$291,347
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$291,347
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$332,461
Value of total assets at end of year	2010-12-31	$3,629,314
Value of total assets at beginning of year	2010-12-31	$3,317,328
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$0
Total interest from all sources	2010-12-31	$4,860
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$74,584
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$74,584
Assets. Real estate other than employer real property at end of year	2010-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2010-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2010-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2010-12-31	$0
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
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	$313,603
Participant contributions at end of year	2010-12-31	$117,455
Participant contributions at beginning of year	2010-12-31	$117,749
Participant contributions at end of year	2010-12-31	$0
Participant contributions at beginning of year	2010-12-31	$24,162
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$676
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$241
Assets. Loans (other than to participants) at end of year	2010-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2010-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$0
Liabilities. Value of operating payables at end of year	2010-12-31	$0
Liabilities. Value of operating payables at beginning of year	2010-12-31	$0
Total non interest bearing cash at end of year	2010-12-31	$0
Total non interest bearing cash at beginning of year	2010-12-31	$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	2010-12-31	No
Value of net income/loss	2010-12-31	$311,986
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$3,629,314
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$3,317,328
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
Assets. partnership/joint venture interests at end of year	2010-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2010-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$3,511,859
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$3,169,039
Interest on participant loans	2010-12-31	$4,860
Value of interest in master investment trust accounts at end of year	2010-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2010-12-31	$0
Value of interest in common/collective trusts at end of year	2010-12-31	$0
Value of interest in common/collective trusts at beginning of year	2010-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2010-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2010-12-31	$0
Asset value of US Government securities at end of year	2010-12-31	$0
Asset value of US Government securities at beginning of year	2010-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$184,804
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	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Assets. Invements in employer securities at end of year	2010-12-31	$0
Assets. Invements in employer securities at beginning of year	2010-12-31	$0
Assets. Value of employer real property at end of year	2010-12-31	$0
Assets. Value of employer real property at beginning of year	2010-12-31	$0
Contributions received in cash from employer	2010-12-31	$18,182
Employer contributions (assets) at end of year	2010-12-31	$0
Employer contributions (assets) at beginning of year	2010-12-31	$6,137
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$291,347
Asset. Corporate debt instrument preferred debt at end of year	2010-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2010-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2010-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2010-12-31	$0
Assets. Corporate common stocks other than exployer securities at end of year	2010-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2010-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2010-12-31	$0
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
Aggregate proceeds on sale of assets	2010-12-31	$483,828
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$477,204
Liabilities. Value of acquisition indebtedness at end of year	2010-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2010-12-31	$0
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	ADAMS, BROWN, BERAN & BALL CHTD.
Accountancy firm EIN	2010-12-31	481040139
2009 : LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 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 LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN

2014: LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: LUTHERAN SERVICES FOR THE AGING INC 401(K) PLAN 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	LUTHERAN SERVICES FOR THE AGING INC
Employer identification number (EIN):	560752160
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	North Carolina Secretary of State
Incorporation Date:
Company Identification Number:	0104568