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ST. LUKE'S HOME 401k Plan overview

Plan NameST. LUKE'S HOME
Plan identification number 001

ST. LUKE'S HOME Benefits

401k Plan TypeDefined 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock 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.

401k Sponsoring company profile

ST. LUKES HOME RESIDENTIAL HEALTHCARE FACILITY, INC. has sponsored the creation of one or more 401k plans.

Company Name:ST. LUKES HOME RESIDENTIAL HEALTHCARE FACILITY, INC.
Employer identification number (EIN):161476372
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ST. LUKE'S HOME

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01NANCY RATCLIFFE2023-06-07
0012021-01-01NANCY RATCLIFFE2022-06-21
0012020-01-01NANCY RATCLIFFE2021-09-08
0012019-01-01LUCIANA FLYNT2020-06-11
0012018-01-01RON CRITELLI2019-08-15
0012017-01-01RON CRITELLI2018-09-25
0012016-01-01RON CRITELLI2017-07-20
0012015-01-01RON CRITELLI2016-06-29
0012014-01-01RON CRITELLI2015-07-09
0012013-01-01RON CRITELLI2014-05-13
0012012-01-01RON CRITELLI2013-06-17
0012011-01-01RON CRITELLI
0012009-01-01RONALD CRITELLI RONALD CRITELLI2010-10-14
0012009-01-01RONALD CRITELLI RONALD CRITELLI2010-10-14

Plan Statistics for ST. LUKE'S HOME

401k plan membership statisitcs for ST. LUKE'S HOME

Measure Date Value
2011: ST. LUKE'S HOME 2011 401k membership
Total participants, beginning-of-year2011-01-01125
Total number of active participants reported on line 7a of the Form 55002011-01-0131
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0143
Total of all active and inactive participants2011-01-0174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0174
Number of participants with account balances2011-01-0174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: ST. LUKE'S HOME 2009 401k membership
Total participants, beginning-of-year2009-01-01129
Total number of active participants reported on line 7a of the Form 55002009-01-0165
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0162
Total of all active and inactive participants2009-01-01127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01127
Number of participants with account balances2009-01-01127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on ST. LUKE'S HOME

Measure Date Value
2011 : ST. LUKE'S HOME 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$6,673
Total of all expenses incurred2011-12-31$217,536
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$211,674
Value of total assets at end of year2011-12-31$223,441
Value of total assets at beginning of year2011-12-31$434,304
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$5,862
Total interest from all sources2011-12-31$6,745
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$5,641
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Participant contributions at end of year2011-12-31$2,003
Participant contributions at beginning of year2011-12-31$2,735
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$51
Administrative expenses (other) incurred2011-12-31$221
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-210,863
Value of net assets at end of year (total assets less liabilities)2011-12-31$223,441
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$434,304
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$80,114
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$188,185
Value of interest in pooled separate accounts at end of year2011-12-31$820
Value of interest in pooled separate accounts at beginning of year2011-12-31$10,772
Interest on participant loans2011-12-31$162
Interest earned on other investments2011-12-31$6,583
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$140,453
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$232,612
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-298
Net investment gain/loss from pooled separate accounts2011-12-31$226
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$211,674
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31FUST CHARLES CHAMBERS LLP
Accountancy firm EIN2011-12-31161226221
2010 : ST. LUKE'S HOME 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$28,963
Total of all expenses incurred2010-12-31$50,705
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$32,290
Expenses. Certain deemed distributions of participant loans2010-12-31$8,772
Value of total assets at end of year2010-12-31$434,304
Value of total assets at beginning of year2010-12-31$456,046
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$9,643
Total interest from all sources2010-12-31$8,406
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$9,643
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Participant contributions at end of year2010-12-31$2,735
Participant contributions at beginning of year2010-12-31$7,416
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-21,742
Value of net assets at end of year (total assets less liabilities)2010-12-31$434,304
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$456,046
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$188,185
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$181,425
Value of interest in pooled separate accounts at end of year2010-12-31$10,772
Value of interest in pooled separate accounts at beginning of year2010-12-31$10,458
Interest on participant loans2010-12-31$200
Interest earned on other investments2010-12-31$8,206
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$232,612
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$256,747
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$20,243
Net investment gain/loss from pooled separate accounts2010-12-31$314
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$32,290
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31FUST CHARLES CHAMBERS LLP
Accountancy firm EIN2010-12-31161226221
2009 : ST. LUKE'S HOME 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for ST. LUKE'S HOME

2011: ST. LUKE'S HOME 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: ST. LUKE'S HOME 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL7550307
Policy instance 1
Insurance contract or identification numberL7550307
Number of Individuals Covered74
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $3
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberL7550307
Policy instance 1
Insurance contract or identification numberL7550307
Number of Individuals Covered125
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $899
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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