401k Plan data: SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN plan

SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN 401k Plan overview

Plan Name	SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN
Plan identification number	501

SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision

401k Sponsoring company profile

SALEM NURSING & REHAB CENTER OF TUSKEGEE INC has sponsored the creation of one or more 401k plans.

Company Name: SALEM NURSING & REHAB CENTER OF TUSKEGEE INC

Employer identification number (EIN): 631147319

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-01-01 JACKIE SORRELLS DOUGLAS K MITTLEIDER 2014-05-05
501 2012-01-01 JACKIE SORRELLS DOUGLAS K MITTLEIDER 2013-03-01
501 2011-01-01 JACKIE SORRELLS DOUGLAS K MITTLEIDER 2012-04-09
501 2010-01-01 JACKIE SORRELLS DOUGLAS K MITTLEIDER 2011-05-12
501 2009-01-01 JACKIE SORRELLS DOUGLAS K MITTLEIDER 2010-02-28

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2013-01-01	JACKIE SORRELLS	DOUGLAS K MITTLEIDER	2014-05-05
501	2012-01-01	JACKIE SORRELLS	DOUGLAS K MITTLEIDER	2013-03-01
501	2011-01-01	JACKIE SORRELLS	DOUGLAS K MITTLEIDER	2012-04-09
501	2010-01-01	JACKIE SORRELLS	DOUGLAS K MITTLEIDER	2011-05-12
501	2009-01-01	JACKIE SORRELLS	DOUGLAS K MITTLEIDER	2010-02-28

Plan Statistics for SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN

401k plan membership statisitcs for SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN

Measure Date Value
2013: SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 29
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 30
Total of all active and inactive participants 2013-01-01 30
Total participants 2013-01-01 30
2012: SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 26
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 29
Total of all active and inactive participants 2012-01-01 29
2011: SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 30
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 26
Total of all active and inactive participants 2011-01-01 26
2010: SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 28
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 30
Total of all active and inactive participants 2010-01-01 30
2009: SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 30
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 28
Total of all active and inactive participants 2009-01-01 28

Measure	Date	Value
2013: SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	29
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	30
Total of all active and inactive participants	2013-01-01	30
Total participants	2013-01-01	30
2012: SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	26
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	29
Total of all active and inactive participants	2012-01-01	29
2011: SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	30
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	26
Total of all active and inactive participants	2011-01-01	26
2010: SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	28
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	30
Total of all active and inactive participants	2010-01-01	30
2009: SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	30
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	28
Total of all active and inactive participants	2009-01-01	28

Form 5500 Responses for SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN

2013: SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: SALEM NURSING & REHAB CENTER OF TUSKEGEE FLEXIBLE BENEFITS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	SALEM NURSING & REHAB CENTER OF TUSKEGEE INC
Employer identification number (EIN):	631147319
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities