401k Plan data: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN plan

THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 401k Plan overview

Plan Name	THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN
Plan identification number	502

THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

THE WARTBURG HOME has sponsored the creation of one or more 401k plans.

Company Name: THE WARTBURG HOME

Employer identification number (EIN): 131740497

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2017-01-01
502 2016-01-01 DOROTHEA BELL
502 2015-01-01 DOROTHEA BELL
502 2014-01-01 DOROTHEA F BELL
502 2013-01-01 DOROTHEA BELL
502 2012-01-01 DOROTHEA BELL DOROTHEA BELL 2013-11-27
502 2011-01-01 DOROTHEA BELL DOROTHEA BELL 2013-11-27
502 2009-01-01 DOROTHEA BELL DOROTHEA BELL 2013-11-27
502 2008-01-01 DOROTHEA BELL DOROTHEA BELL 2013-11-27
502 2007-01-01 DOROTHEA BELL DOROTHEA BELL 2013-11-27
502 2006-01-01 DOROTHEA BELL DOROTHEA BELL 2013-11-27
502 2005-01-01 DOROTHEA BELL DOROTHEA BELL 2013-11-27
502 2004-01-01 DOROTHEA BELL DOROTHEA BELL 2013-11-27
502 2003-01-01 DOROTHEA BELL DOROTHEA BELL 2013-11-27
502 2002-01-01 DOROTHEA BELL D 2013-11-27
502 2001-03-01 DOROTHEA BELL DOROTHEA BELL 2013-11-27

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2017-01-01
502	2016-01-01	DOROTHEA BELL
502	2015-01-01	DOROTHEA BELL
502	2014-01-01	DOROTHEA F BELL
502	2013-01-01	DOROTHEA BELL
502	2012-01-01	DOROTHEA BELL	DOROTHEA BELL	2013-11-27
502	2011-01-01	DOROTHEA BELL	DOROTHEA BELL	2013-11-27
502	2009-01-01	DOROTHEA BELL	DOROTHEA BELL	2013-11-27
502	2008-01-01	DOROTHEA BELL	DOROTHEA BELL	2013-11-27
502	2007-01-01	DOROTHEA BELL	DOROTHEA BELL	2013-11-27
502	2006-01-01	DOROTHEA BELL	DOROTHEA BELL	2013-11-27
502	2005-01-01	DOROTHEA BELL	DOROTHEA BELL	2013-11-27
502	2004-01-01	DOROTHEA BELL	DOROTHEA BELL	2013-11-27
502	2003-01-01	DOROTHEA BELL	DOROTHEA BELL	2013-11-27
502	2002-01-01	DOROTHEA BELL	D	2013-11-27
502	2001-03-01	DOROTHEA BELL	DOROTHEA BELL	2013-11-27

Plan Statistics for THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN

401k plan membership statisitcs for THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN

Measure Date Value
2017: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 330
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 330
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 330
2016: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 330
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 330
2015: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 100
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 100
2014: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 110
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 100
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 2014-01-01 100
2013: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 129
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 110
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 0
Total of all active and inactive participants 2013-01-01 110
2012: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 132
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 129
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 0
Total of all active and inactive participants 2012-01-01 129
2011: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 142
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 132
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 0
Total of all active and inactive participants 2011-01-01 132
2009: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 100
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 100
2008: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 100
Number of retired or separated participants receiving benefits 2008-01-01 0
Number of other retired or separated participants entitled to future benefits 2008-01-01 0
Total of all active and inactive participants 2008-01-01 100
2007: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2007 401k membership
Total participants, beginning-of-year 2007-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 100
Number of retired or separated participants receiving benefits 2007-01-01 0
Number of other retired or separated participants entitled to future benefits 2007-01-01 0
Total of all active and inactive participants 2007-01-01 100
2006: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2006 401k membership
Total participants, beginning-of-year 2006-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2006-01-01 100
Number of retired or separated participants receiving benefits 2006-01-01 0
Number of other retired or separated participants entitled to future benefits 2006-01-01 0
Total of all active and inactive participants 2006-01-01 100
2005: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2005 401k membership
Total participants, beginning-of-year 2005-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2005-01-01 100
Number of retired or separated participants receiving benefits 2005-01-01 0
Number of other retired or separated participants entitled to future benefits 2005-01-01 0
Total of all active and inactive participants 2005-01-01 100
2004: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2004 401k membership
Total participants, beginning-of-year 2004-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2004-01-01 100
Number of retired or separated participants receiving benefits 2004-01-01 0
Number of other retired or separated participants entitled to future benefits 2004-01-01 0
Total of all active and inactive participants 2004-01-01 100
2003: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2003 401k membership
Total participants, beginning-of-year 2003-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2003-01-01 100
Number of retired or separated participants receiving benefits 2003-01-01 0
Number of other retired or separated participants entitled to future benefits 2003-01-01 0
Total of all active and inactive participants 2003-01-01 100
2002: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2002 401k membership
Total participants, beginning-of-year 2002-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2002-01-01 100
Number of retired or separated participants receiving benefits 2002-01-01 0
Number of other retired or separated participants entitled to future benefits 2002-01-01 0
Total of all active and inactive participants 2002-01-01 100
2001: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2001 401k membership
Total participants, beginning-of-year 2001-03-01 100
Total number of active participants reported on line 7a of the Form 5500 2001-03-01 100
Number of retired or separated participants receiving benefits 2001-03-01 0
Number of other retired or separated participants entitled to future benefits 2001-03-01 0
Total of all active and inactive participants 2001-03-01 100

Measure	Date	Value
2017: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	330
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	330
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	330
2016: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	330
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	330
2015: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	100
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	100
2014: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	110
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	100
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	100
2013: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	129
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	110
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	0
Total of all active and inactive participants	2013-01-01	110
2012: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	132
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	129
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	0
Total of all active and inactive participants	2012-01-01	129
2011: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	142
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	132
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	0
Total of all active and inactive participants	2011-01-01	132
2009: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	100
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	100
2008: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	100
Number of retired or separated participants receiving benefits	2008-01-01	0
Number of other retired or separated participants entitled to future benefits	2008-01-01	0
Total of all active and inactive participants	2008-01-01	100
2007: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2007 401k membership
Total participants, beginning-of-year	2007-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	100
Number of retired or separated participants receiving benefits	2007-01-01	0
Number of other retired or separated participants entitled to future benefits	2007-01-01	0
Total of all active and inactive participants	2007-01-01	100
2006: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2006 401k membership
Total participants, beginning-of-year	2006-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2006-01-01	100
Number of retired or separated participants receiving benefits	2006-01-01	0
Number of other retired or separated participants entitled to future benefits	2006-01-01	0
Total of all active and inactive participants	2006-01-01	100
2005: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2005 401k membership
Total participants, beginning-of-year	2005-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2005-01-01	100
Number of retired or separated participants receiving benefits	2005-01-01	0
Number of other retired or separated participants entitled to future benefits	2005-01-01	0
Total of all active and inactive participants	2005-01-01	100
2004: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2004 401k membership
Total participants, beginning-of-year	2004-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2004-01-01	100
Number of retired or separated participants receiving benefits	2004-01-01	0
Number of other retired or separated participants entitled to future benefits	2004-01-01	0
Total of all active and inactive participants	2004-01-01	100
2003: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2003 401k membership
Total participants, beginning-of-year	2003-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2003-01-01	100
Number of retired or separated participants receiving benefits	2003-01-01	0
Number of other retired or separated participants entitled to future benefits	2003-01-01	0
Total of all active and inactive participants	2003-01-01	100
2002: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2002 401k membership
Total participants, beginning-of-year	2002-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2002-01-01	100
Number of retired or separated participants receiving benefits	2002-01-01	0
Number of other retired or separated participants entitled to future benefits	2002-01-01	0
Total of all active and inactive participants	2002-01-01	100
2001: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2001 401k membership
Total participants, beginning-of-year	2001-03-01	100
Total number of active participants reported on line 7a of the Form 5500	2001-03-01	100
Number of retired or separated participants receiving benefits	2001-03-01	0
Number of other retired or separated participants entitled to future benefits	2001-03-01	0
Total of all active and inactive participants	2001-03-01	100

Form 5500 Responses for THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN

2017: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY 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 – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
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 – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
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 – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
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 – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY 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 – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2008: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2008-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2007: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Submission has been amended	No
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	No
2007-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2007-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2006: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2006 form 5500 responses
2006-01-01	Type of plan entity	Single employer plan
2006-01-01	Submission has been amended	No
2006-01-01	This submission is the final filing	No
2006-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-01-01	Plan is a collectively bargained plan	No
2006-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2006-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2005: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2005 form 5500 responses
2005-01-01	Type of plan entity	Single employer plan
2005-01-01	Submission has been amended	No
2005-01-01	This submission is the final filing	No
2005-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2005-01-01	Plan is a collectively bargained plan	No
2005-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2005-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2004: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2004 form 5500 responses
2004-01-01	Type of plan entity	Single employer plan
2004-01-01	Submission has been amended	No
2004-01-01	This submission is the final filing	No
2004-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2004-01-01	Plan is a collectively bargained plan	No
2004-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2004-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2003: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2003 form 5500 responses
2003-01-01	Type of plan entity	Single employer plan
2003-01-01	Submission has been amended	No
2003-01-01	This submission is the final filing	No
2003-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2003-01-01	Plan is a collectively bargained plan	No
2003-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2003-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2002: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2002 form 5500 responses
2002-01-01	Type of plan entity	Single employer plan
2002-01-01	Submission has been amended	No
2002-01-01	This submission is the final filing	No
2002-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2002-01-01	Plan is a collectively bargained plan	No
2002-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2002-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2001: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH DISABILITY PLAN 2001 form 5500 responses
2001-03-01	Type of plan entity	Single employer plan
2001-03-01	Submission has been amended	No
2001-03-01	This submission is the final filing	No
2001-03-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2001-03-01	Plan is a collectively bargained plan	No
2001-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2001-03-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

TM05924041

Policy instance

Insurance contract or identification number	TM05924041
Number of Individuals Covered	330
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

TM05358074

Policy instance

Insurance contract or identification number	TM05358074
Number of Individuals Covered	330
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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Company Name:	THE WARTBURG HOME
Employer identification number (EIN):	131740497
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities