401k Plan data: GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP plan

GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 401k Plan overview

Plan Name	GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP
Plan identification number	001

GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 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.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. has sponsored the creation of one or more 401k plans.

Company Name: GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC.

Employer identification number (EIN): 731129676

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 DIANE HAMBRIC
001 2013-01-01 DIANE HAMBRIC
001 2012-01-01 DIANE HAMBRIC
001 2011-01-01 DIANE HAMBRIC
001 2009-01-01 DIANE HAMBRIC DIANE HAMBRIC 2010-10-12
001 2009-01-01 DIANE HAMBRIC DIANE HAMBRIC 2010-10-12

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	DIANE HAMBRIC
001	2013-01-01	DIANE HAMBRIC
001	2012-01-01	DIANE HAMBRIC
001	2011-01-01	DIANE HAMBRIC
001	2009-01-01	DIANE HAMBRIC	DIANE HAMBRIC	2010-10-12
001	2009-01-01	DIANE HAMBRIC	DIANE HAMBRIC	2010-10-12

Plan Statistics for GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP

401k plan membership statisitcs for GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP

Measure Date Value
2014: GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 2014 401k membership
Total participants, beginning-of-year 2014-01-01 277
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
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 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 2013 401k membership
Total participants, beginning-of-year 2013-01-01 279
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 231
Number of other retired or separated participants entitled to future benefits 2013-01-01 46
Total of all active and inactive participants 2013-01-01 277
Total participants 2013-01-01 277
Number of participants with account balances 2013-01-01 97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 6
2012: GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 2012 401k membership
Total participants, beginning-of-year 2012-01-01 206
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 232
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 47
Total of all active and inactive participants 2012-01-01 279
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 279
Number of participants with account balances 2012-01-01 100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 2
2011: GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 2011 401k membership
Total participants, beginning-of-year 2011-01-01 218
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 159
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 43
Total of all active and inactive participants 2011-01-01 202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 202
Number of participants with account balances 2011-01-01 99
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 10
2009: GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 2009 401k membership
Total participants, beginning-of-year 2009-01-01 207
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 177
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 22
Total of all active and inactive participants 2009-01-01 199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 199
Number of participants with account balances 2009-01-01 84
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2014: GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 2014 401k membership
Total participants, beginning-of-year	2014-01-01	277
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
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	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 2013 401k membership
Total participants, beginning-of-year	2013-01-01	279
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	231
Number of other retired or separated participants entitled to future benefits	2013-01-01	46
Total of all active and inactive participants	2013-01-01	277
Total participants	2013-01-01	277
Number of participants with account balances	2013-01-01	97
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	6
2012: GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 2012 401k membership
Total participants, beginning-of-year	2012-01-01	206
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	232
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	47
Total of all active and inactive participants	2012-01-01	279
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	279
Number of participants with account balances	2012-01-01	100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	2
2011: GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 2011 401k membership
Total participants, beginning-of-year	2011-01-01	218
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	159
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	43
Total of all active and inactive participants	2011-01-01	202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	202
Number of participants with account balances	2011-01-01	99
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	10
2009: GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 2009 401k membership
Total participants, beginning-of-year	2009-01-01	207
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	177
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	22
Total of all active and inactive participants	2009-01-01	199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	199
Number of participants with account balances	2009-01-01	84
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP

Measure	Date	Value
2014 : GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-09-30	$15,282
Total income from all sources (including contributions)	2014-09-30	$62,045
Total of all expenses incurred	2014-09-30	$712,522
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-09-30	$693,969
Value of total corrective distributions	2014-09-30	$13,791
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-09-30	$49,594
Value of total assets at end of year	2014-09-30	$0
Value of total assets at beginning of year	2014-09-30	$665,759
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-09-30	$4,762
Total interest from all sources	2014-09-30	$687
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-09-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2014-09-30	$0
Administrative expenses professional fees incurred	2014-09-30	$4,762
Was this plan covered by a fidelity bond	2014-09-30	Yes
Value of fidelity bond cover	2014-09-30	$50,000
If this is an individual account plan, was there a blackout period	2014-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2014-09-30	No
Contributions received from participants	2014-09-30	$49,479
Participant contributions at end of year	2014-09-30	$0
Participant contributions at beginning of year	2014-09-30	$15,390
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-09-30	$15,282
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-09-30	No
Value of net income/loss	2014-09-30	$-650,477
Value of net assets at end of year (total assets less liabilities)	2014-09-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2014-09-30	$650,477
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-09-30	No
Were any leases to which the plan was party in default or uncollectible	2014-09-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-09-30	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-09-30	$645,321
Interest on participant loans	2014-09-30	$149
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-09-30	$5,164
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-09-30	$5,164
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-09-30	$538
Net investment gain or loss from common/collective trusts	2014-09-30	$11,764
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-09-30	No
Was there a failure to transmit to the plan any participant contributions	2014-09-30	No
Has the plan failed to provide any benefit when due under the plan	2014-09-30	No
Contributions received in cash from employer	2014-09-30	$115
Employer contributions (assets) at end of year	2014-09-30	$0
Employer contributions (assets) at beginning of year	2014-09-30	$-116
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-09-30	$693,969
Did the plan have assets held for investment	2014-09-30	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	2014-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-09-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-09-30	Disclaimer
Accountancy firm name	2014-09-30	HOGAN TAYLOR
Accountancy firm EIN	2014-09-30	731413977
2013 : GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$15,282
Total income from all sources (including contributions)	2013-12-31	$214,833
Total of all expenses incurred	2013-12-31	$68,641
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$49,290
Value of total corrective distributions	2013-12-31	$15,282
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$103,853
Value of total assets at end of year	2013-12-31	$665,759
Value of total assets at beginning of year	2013-12-31	$504,285
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$4,069
Total interest from all sources	2013-12-31	$431
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$4,069
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$50,000
If this is an individual account plan, was there a blackout period	2013-12-31	Yes
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	$103,636
Participant contributions at end of year	2013-12-31	$15,390
Participant contributions at beginning of year	2013-12-31	$4,353
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$15,282
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	$146,192
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$650,477
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$504,285
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	$645,321
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$489,862
Interest on participant loans	2013-12-31	$340
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$5,164
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$8,258
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$8,258
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$91
Net investment gain or loss from common/collective trusts	2013-12-31	$110,549
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	No
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	$217
Employer contributions (assets) at end of year	2013-12-31	$-116
Employer contributions (assets) at beginning of year	2013-12-31	$1,812
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$49,290
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	Yes
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	HOGAN TAYLOR
Accountancy firm EIN	2013-12-31	731413977
2012 : GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$151,298
Total of all expenses incurred	2012-12-31	$27,786
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$24,053
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$96,166
Value of total assets at end of year	2012-12-31	$504,285
Value of total assets at beginning of year	2012-12-31	$380,773
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$3,733
Total interest from all sources	2012-12-31	$332
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$3,733
Was this plan covered by a fidelity bond	2012-12-31	No
If this is an individual account plan, was there a blackout period	2012-12-31	No
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	$94,354
Participant contributions at end of year	2012-12-31	$4,353
Participant contributions at beginning of year	2012-12-31	$2,310
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	$123,512
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$504,285
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$380,773
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	Yes
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$489,862
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$371,912
Interest on participant loans	2012-12-31	$330
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$8,258
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$6,551
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$6,551
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$2
Net investment gain or loss from common/collective trusts	2012-12-31	$54,800
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
Contributions received in cash from employer	2012-12-31	$1,812
Employer contributions (assets) at end of year	2012-12-31	$1,812
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$24,053
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
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	HOGAN TAYLOR LLP
Accountancy firm EIN	2012-12-31	731413977
2011 : GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$94,479
Total of all expenses incurred	2011-12-31	$44,022
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$40,311
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$106,615
Value of total assets at end of year	2011-12-31	$380,773
Value of total assets at beginning of year	2011-12-31	$330,316
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$3,711
Total interest from all sources	2011-12-31	$686
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$3,711
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$50,000
If this is an individual account plan, was there a blackout period	2011-12-31	Yes
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	$106,615
Participant contributions at end of year	2011-12-31	$2,310
Participant contributions at beginning of year	2011-12-31	$1,923
Participant contributions at beginning of year	2011-12-31	$6,100
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	$50,457
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$380,773
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$330,316
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$371,912
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$317,749
Interest on participant loans	2011-12-31	$51
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$6,551
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$4,544
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$4,544
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$635
Net investment gain or loss from common/collective trusts	2011-12-31	$-12,822
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$40,311
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	2011-12-31	Yes
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
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	HOGAN TAYLOR LLP
Accountancy firm EIN	2011-12-31	731413977
2010 : GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$46,955
Total unrealized appreciation/depreciation of assets	2010-12-31	$46,955
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$2,810
Total income from all sources (including contributions)	2010-12-31	$123,521
Total loss/gain on sale of assets	2010-12-31	$503
Total of all expenses incurred	2010-12-31	$26,619
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$24,672
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$90,766
Value of total assets at end of year	2010-12-31	$330,316
Value of total assets at beginning of year	2010-12-31	$236,224
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$1,947
Total interest from all sources	2010-12-31	$402
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Administrative expenses professional fees incurred	2010-12-31	$1,947
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$50,000
If this is an individual account plan, was there a blackout period	2010-12-31	Yes
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	$84,416
Participant contributions at end of year	2010-12-31	$1,923
Participant contributions at end of year	2010-12-31	$6,100
Participant contributions at beginning of year	2010-12-31	$8,088
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$2,810
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	$96,902
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$330,316
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$233,414
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$317,749
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$222,254
Interest on participant loans	2010-12-31	$44
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$4,544
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$5,882
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$5,882
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$358
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$-15,105
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$6,350
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$24,672
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	2010-12-31	Yes
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	$57,595
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$57,092
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	HOGAN TAYLOR LLP
Accountancy firm EIN	2010-12-31	731413977
2009 : GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 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 GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP

2014: GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC. 401(K) PSP 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:	GOLD MEDALLION SENIOR HOUSING & HEALTHCARE, INC.
Employer identification number (EIN):	731129676
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities