401k Plan data: RETIREMENT SAVINGS PLAN OF WARM BEACH HEALTH CARE CENTER plan

RETIREMENT SAVINGS PLAN OF WARM BEACH HEALTH CARE CENTER 401k Plan overview

Plan Name	RETIREMENT SAVINGS PLAN OF WARM BEACH HEALTH CARE CENTER
Plan identification number	002

RETIREMENT SAVINGS PLAN OF WARM BEACH HEALTH CARE CENTER Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
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.

401k Sponsoring company profile

WARM BEACH HEALTH CARE CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name: WARM BEACH HEALTH CARE CENTER, INC.

Employer identification number (EIN): 910968467

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RETIREMENT SAVINGS PLAN OF WARM BEACH HEALTH CARE CENTER

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2009-01-01 LARRY FOSS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2009-01-01	LARRY FOSS

Plan Statistics for RETIREMENT SAVINGS PLAN OF WARM BEACH HEALTH CARE CENTER

401k plan membership statisitcs for RETIREMENT SAVINGS PLAN OF WARM BEACH HEALTH CARE CENTER

Measure Date Value
2009: RETIREMENT SAVINGS PLAN OF WARM BEACH HEALTH CARE CENTER 2009 401k membership
Total participants, beginning-of-year 2009-01-01 399
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 394
Number of other retired or separated participants entitled to future benefits 2009-01-01 74
Total of all active and inactive participants 2009-01-01 468
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 468
Number of participants with account balances 2009-01-01 160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2009: RETIREMENT SAVINGS PLAN OF WARM BEACH HEALTH CARE CENTER 2009 401k membership
Total participants, beginning-of-year	2009-01-01	399
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	394
Number of other retired or separated participants entitled to future benefits	2009-01-01	74
Total of all active and inactive participants	2009-01-01	468
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	468
Number of participants with account balances	2009-01-01	160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Form 5500 Responses for RETIREMENT SAVINGS PLAN OF WARM BEACH HEALTH CARE CENTER

2009: RETIREMENT SAVINGS PLAN OF WARM BEACH HEALTH CARE CENTER 2009 form 5500 responses
2009-01-01	Type of plan entity	Mulitple 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 – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	WARM BEACH HEALTH CARE CENTER, INC.
Employer identification number (EIN):	910968467