401k Plan data: HEARTHSTONE SENIOR COMMUNITIES plan

HEARTHSTONE SENIOR COMMUNITIES 401k Plan overview

Plan Name	HEARTHSTONE SENIOR COMMUNITIES
Plan identification number	501

HEARTHSTONE SENIOR COMMUNITIES Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

HEARTHSTONE SENIOR COMMUNITIES, INC. has sponsored the creation of one or more 401k plans.

Company Name: HEARTHSTONE SENIOR COMMUNITIES, INC.

Employer identification number (EIN): 232856813

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

Additional information about HEARTHSTONE SENIOR COMMUNITIES, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1996-08-08

Company Identification Number: N96000004160

Legal Registered Office Address: 1200 SOUTH PINE ISLAND ROAD

PLANTATION

33324

More information about HEARTHSTONE SENIOR COMMUNITIES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEARTHSTONE SENIOR COMMUNITIES

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-11-01 CINDY DELMONTE 2024-01-22
501 2021-11-01 CINDY DELMONTE 2023-04-13
501 2020-11-01 CINDY DELMONTE 2022-05-18
501 2019-11-01
501 2018-11-01
501 2017-11-01
501 2016-11-01 GUY F. MURDOCK
501 2015-11-01 ROBERT WEBSTER
501 2014-11-01 SEAN F. LEONARD
501 2013-11-01 JENNIFER BOTTER
501 2012-11-01 JENNIFER BOTTER
501 2011-11-01 SUSAN SHAIN
501 2009-11-01 DAVID ARMSTRONG

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2022-11-01	CINDY DELMONTE	2024-01-22
501	2021-11-01	CINDY DELMONTE	2023-04-13
501	2020-11-01	CINDY DELMONTE	2022-05-18
501	2019-11-01
501	2018-11-01
501	2017-11-01
501	2016-11-01	GUY F. MURDOCK
501	2015-11-01	ROBERT WEBSTER
501	2014-11-01	SEAN F. LEONARD
501	2013-11-01	JENNIFER BOTTER
501	2012-11-01	JENNIFER BOTTER
501	2011-11-01	SUSAN SHAIN
501	2009-11-01	DAVID ARMSTRONG

Plan Statistics for HEARTHSTONE SENIOR COMMUNITIES

401k plan membership statisitcs for HEARTHSTONE SENIOR COMMUNITIES

Measure Date Value
2022: HEARTHSTONE SENIOR COMMUNITIES 2022 401k membership
Total participants, beginning-of-year 2022-11-01 737
Total number of active participants reported on line 7a of the Form 5500 2022-11-01 801
Number of retired or separated participants receiving benefits 2022-11-01 1
Number of other retired or separated participants entitled to future benefits 2022-11-01 0
Total of all active and inactive participants 2022-11-01 802
Number of employers contributing to the scheme 2022-11-01 0
2021: HEARTHSTONE SENIOR COMMUNITIES 2021 401k membership
Total participants, beginning-of-year 2021-11-01 123
Total number of active participants reported on line 7a of the Form 5500 2021-11-01 115
Number of retired or separated participants receiving benefits 2021-11-01 0
Number of other retired or separated participants entitled to future benefits 2021-11-01 0
Total of all active and inactive participants 2021-11-01 115
Number of employers contributing to the scheme 2021-11-01 0
2020: HEARTHSTONE SENIOR COMMUNITIES 2020 401k membership
Total participants, beginning-of-year 2020-11-01 539
Total number of active participants reported on line 7a of the Form 5500 2020-11-01 447
Number of retired or separated participants receiving benefits 2020-11-01 0
Number of other retired or separated participants entitled to future benefits 2020-11-01 0
Total of all active and inactive participants 2020-11-01 447
Number of employers contributing to the scheme 2020-11-01 0
2019: HEARTHSTONE SENIOR COMMUNITIES 2019 401k membership
Total participants, beginning-of-year 2019-11-01 573
Total number of active participants reported on line 7a of the Form 5500 2019-11-01 559
Number of retired or separated participants receiving benefits 2019-11-01 0
Number of other retired or separated participants entitled to future benefits 2019-11-01 0
Total of all active and inactive participants 2019-11-01 559
2018: HEARTHSTONE SENIOR COMMUNITIES 2018 401k membership
Total participants, beginning-of-year 2018-11-01 645
Total number of active participants reported on line 7a of the Form 5500 2018-11-01 573
Number of retired or separated participants receiving benefits 2018-11-01 0
Number of other retired or separated participants entitled to future benefits 2018-11-01 0
Total of all active and inactive participants 2018-11-01 573
2017: HEARTHSTONE SENIOR COMMUNITIES 2017 401k membership
Total participants, beginning-of-year 2017-11-01 662
Total number of active participants reported on line 7a of the Form 5500 2017-11-01 645
Number of retired or separated participants receiving benefits 2017-11-01 0
Number of other retired or separated participants entitled to future benefits 2017-11-01 0
Total of all active and inactive participants 2017-11-01 645
2016: HEARTHSTONE SENIOR COMMUNITIES 2016 401k membership
Total participants, beginning-of-year 2016-11-01 791
Total number of active participants reported on line 7a of the Form 5500 2016-11-01 662
Number of retired or separated participants receiving benefits 2016-11-01 0
Number of other retired or separated participants entitled to future benefits 2016-11-01 0
Total of all active and inactive participants 2016-11-01 662
2015: HEARTHSTONE SENIOR COMMUNITIES 2015 401k membership
Total participants, beginning-of-year 2015-11-01 918
Total number of active participants reported on line 7a of the Form 5500 2015-11-01 791
Number of retired or separated participants receiving benefits 2015-11-01 0
Number of other retired or separated participants entitled to future benefits 2015-11-01 0
Total of all active and inactive participants 2015-11-01 791
2014: HEARTHSTONE SENIOR COMMUNITIES 2014 401k membership
Total participants, beginning-of-year 2014-11-01 874
Total number of active participants reported on line 7a of the Form 5500 2014-11-01 918
Number of retired or separated participants receiving benefits 2014-11-01 0
Number of other retired or separated participants entitled to future benefits 2014-11-01 0
Total of all active and inactive participants 2014-11-01 918
2013: HEARTHSTONE SENIOR COMMUNITIES 2013 401k membership
Total participants, beginning-of-year 2013-11-01 761
Total number of active participants reported on line 7a of the Form 5500 2013-11-01 874
Number of retired or separated participants receiving benefits 2013-11-01 0
Number of other retired or separated participants entitled to future benefits 2013-11-01 0
Total of all active and inactive participants 2013-11-01 874
2012: HEARTHSTONE SENIOR COMMUNITIES 2012 401k membership
Total participants, beginning-of-year 2012-11-01 916
Total number of active participants reported on line 7a of the Form 5500 2012-11-01 761
Number of retired or separated participants receiving benefits 2012-11-01 0
Number of other retired or separated participants entitled to future benefits 2012-11-01 0
Total of all active and inactive participants 2012-11-01 761
2011: HEARTHSTONE SENIOR COMMUNITIES 2011 401k membership
Total participants, beginning-of-year 2011-11-01 995
Total number of active participants reported on line 7a of the Form 5500 2011-11-01 916
Number of retired or separated participants receiving benefits 2011-11-01 0
Number of other retired or separated participants entitled to future benefits 2011-11-01 0
Total of all active and inactive participants 2011-11-01 916
2009: HEARTHSTONE SENIOR COMMUNITIES 2009 401k membership
Total participants, beginning-of-year 2009-11-01 974
Total number of active participants reported on line 7a of the Form 5500 2009-11-01 974
Number of retired or separated participants receiving benefits 2009-11-01 0
Number of other retired or separated participants entitled to future benefits 2009-11-01 0
Total of all active and inactive participants 2009-11-01 974

Measure	Date	Value
2022: HEARTHSTONE SENIOR COMMUNITIES 2022 401k membership
Total participants, beginning-of-year	2022-11-01	737
Total number of active participants reported on line 7a of the Form 5500	2022-11-01	801
Number of retired or separated participants receiving benefits	2022-11-01	1
Number of other retired or separated participants entitled to future benefits	2022-11-01	0
Total of all active and inactive participants	2022-11-01	802
Number of employers contributing to the scheme	2022-11-01	0
2021: HEARTHSTONE SENIOR COMMUNITIES 2021 401k membership
Total participants, beginning-of-year	2021-11-01	123
Total number of active participants reported on line 7a of the Form 5500	2021-11-01	115
Number of retired or separated participants receiving benefits	2021-11-01	0
Number of other retired or separated participants entitled to future benefits	2021-11-01	0
Total of all active and inactive participants	2021-11-01	115
Number of employers contributing to the scheme	2021-11-01	0
2020: HEARTHSTONE SENIOR COMMUNITIES 2020 401k membership
Total participants, beginning-of-year	2020-11-01	539
Total number of active participants reported on line 7a of the Form 5500	2020-11-01	447
Number of retired or separated participants receiving benefits	2020-11-01	0
Number of other retired or separated participants entitled to future benefits	2020-11-01	0
Total of all active and inactive participants	2020-11-01	447
Number of employers contributing to the scheme	2020-11-01	0
2019: HEARTHSTONE SENIOR COMMUNITIES 2019 401k membership
Total participants, beginning-of-year	2019-11-01	573
Total number of active participants reported on line 7a of the Form 5500	2019-11-01	559
Number of retired or separated participants receiving benefits	2019-11-01	0
Number of other retired or separated participants entitled to future benefits	2019-11-01	0
Total of all active and inactive participants	2019-11-01	559
2018: HEARTHSTONE SENIOR COMMUNITIES 2018 401k membership
Total participants, beginning-of-year	2018-11-01	645
Total number of active participants reported on line 7a of the Form 5500	2018-11-01	573
Number of retired or separated participants receiving benefits	2018-11-01	0
Number of other retired or separated participants entitled to future benefits	2018-11-01	0
Total of all active and inactive participants	2018-11-01	573
2017: HEARTHSTONE SENIOR COMMUNITIES 2017 401k membership
Total participants, beginning-of-year	2017-11-01	662
Total number of active participants reported on line 7a of the Form 5500	2017-11-01	645
Number of retired or separated participants receiving benefits	2017-11-01	0
Number of other retired or separated participants entitled to future benefits	2017-11-01	0
Total of all active and inactive participants	2017-11-01	645
2016: HEARTHSTONE SENIOR COMMUNITIES 2016 401k membership
Total participants, beginning-of-year	2016-11-01	791
Total number of active participants reported on line 7a of the Form 5500	2016-11-01	662
Number of retired or separated participants receiving benefits	2016-11-01	0
Number of other retired or separated participants entitled to future benefits	2016-11-01	0
Total of all active and inactive participants	2016-11-01	662
2015: HEARTHSTONE SENIOR COMMUNITIES 2015 401k membership
Total participants, beginning-of-year	2015-11-01	918
Total number of active participants reported on line 7a of the Form 5500	2015-11-01	791
Number of retired or separated participants receiving benefits	2015-11-01	0
Number of other retired or separated participants entitled to future benefits	2015-11-01	0
Total of all active and inactive participants	2015-11-01	791
2014: HEARTHSTONE SENIOR COMMUNITIES 2014 401k membership
Total participants, beginning-of-year	2014-11-01	874
Total number of active participants reported on line 7a of the Form 5500	2014-11-01	918
Number of retired or separated participants receiving benefits	2014-11-01	0
Number of other retired or separated participants entitled to future benefits	2014-11-01	0
Total of all active and inactive participants	2014-11-01	918
2013: HEARTHSTONE SENIOR COMMUNITIES 2013 401k membership
Total participants, beginning-of-year	2013-11-01	761
Total number of active participants reported on line 7a of the Form 5500	2013-11-01	874
Number of retired or separated participants receiving benefits	2013-11-01	0
Number of other retired or separated participants entitled to future benefits	2013-11-01	0
Total of all active and inactive participants	2013-11-01	874
2012: HEARTHSTONE SENIOR COMMUNITIES 2012 401k membership
Total participants, beginning-of-year	2012-11-01	916
Total number of active participants reported on line 7a of the Form 5500	2012-11-01	761
Number of retired or separated participants receiving benefits	2012-11-01	0
Number of other retired or separated participants entitled to future benefits	2012-11-01	0
Total of all active and inactive participants	2012-11-01	761
2011: HEARTHSTONE SENIOR COMMUNITIES 2011 401k membership
Total participants, beginning-of-year	2011-11-01	995
Total number of active participants reported on line 7a of the Form 5500	2011-11-01	916
Number of retired or separated participants receiving benefits	2011-11-01	0
Number of other retired or separated participants entitled to future benefits	2011-11-01	0
Total of all active and inactive participants	2011-11-01	916
2009: HEARTHSTONE SENIOR COMMUNITIES 2009 401k membership
Total participants, beginning-of-year	2009-11-01	974
Total number of active participants reported on line 7a of the Form 5500	2009-11-01	974
Number of retired or separated participants receiving benefits	2009-11-01	0
Number of other retired or separated participants entitled to future benefits	2009-11-01	0
Total of all active and inactive participants	2009-11-01	974

Form 5500 Responses for HEARTHSTONE SENIOR COMMUNITIES

2022: HEARTHSTONE SENIOR COMMUNITIES 2022 form 5500 responses
2022-11-01	Type of plan entity	Single employer plan
2022-11-01	Plan funding arrangement – Insurance	Yes
2022-11-01	Plan benefit arrangement – Insurance	Yes
2021: HEARTHSTONE SENIOR COMMUNITIES 2021 form 5500 responses
2021-11-01	Type of plan entity	Single employer plan
2021-11-01	Plan funding arrangement – Insurance	Yes
2021-11-01	Plan benefit arrangement – Insurance	Yes
2020: HEARTHSTONE SENIOR COMMUNITIES 2020 form 5500 responses
2020-11-01	Type of plan entity	Single employer plan
2020-11-01	Plan funding arrangement – Insurance	Yes
2020-11-01	Plan benefit arrangement – Insurance	Yes
2019: HEARTHSTONE SENIOR COMMUNITIES 2019 form 5500 responses
2019-11-01	Type of plan entity	Single employer plan
2019-11-01	Submission has been amended	No
2019-11-01	This submission is the final filing	No
2019-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-11-01	Plan is a collectively bargained plan	No
2019-11-01	Plan funding arrangement – Insurance	Yes
2019-11-01	Plan benefit arrangement – Insurance	Yes
2018: HEARTHSTONE SENIOR COMMUNITIES 2018 form 5500 responses
2018-11-01	Type of plan entity	Single employer plan
2018-11-01	Submission has been amended	No
2018-11-01	This submission is the final filing	No
2018-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-11-01	Plan is a collectively bargained plan	No
2018-11-01	Plan funding arrangement – Insurance	Yes
2018-11-01	Plan benefit arrangement – Insurance	Yes
2017: HEARTHSTONE SENIOR COMMUNITIES 2017 form 5500 responses
2017-11-01	Type of plan entity	Single employer plan
2017-11-01	Submission has been amended	No
2017-11-01	This submission is the final filing	No
2017-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-11-01	Plan is a collectively bargained plan	No
2017-11-01	Plan funding arrangement – Insurance	Yes
2017-11-01	Plan benefit arrangement – Insurance	Yes
2016: HEARTHSTONE SENIOR COMMUNITIES 2016 form 5500 responses
2016-11-01	Type of plan entity	Single employer plan
2016-11-01	Submission has been amended	No
2016-11-01	This submission is the final filing	No
2016-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-11-01	Plan is a collectively bargained plan	No
2016-11-01	Plan funding arrangement – Insurance	Yes
2016-11-01	Plan benefit arrangement – Insurance	Yes
2015: HEARTHSTONE SENIOR COMMUNITIES 2015 form 5500 responses
2015-11-01	Type of plan entity	Single employer plan
2015-11-01	Submission has been amended	No
2015-11-01	This submission is the final filing	No
2015-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-11-01	Plan is a collectively bargained plan	No
2015-11-01	Plan funding arrangement – Insurance	Yes
2015-11-01	Plan benefit arrangement – Insurance	Yes
2014: HEARTHSTONE SENIOR COMMUNITIES 2014 form 5500 responses
2014-11-01	Type of plan entity	Single employer plan
2014-11-01	Submission has been amended	No
2014-11-01	This submission is the final filing	No
2014-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-11-01	Plan is a collectively bargained plan	No
2014-11-01	Plan funding arrangement – Insurance	Yes
2014-11-01	Plan benefit arrangement – Insurance	Yes
2013: HEARTHSTONE SENIOR COMMUNITIES 2013 form 5500 responses
2013-11-01	Type of plan entity	Single employer plan
2013-11-01	Submission has been amended	No
2013-11-01	This submission is the final filing	No
2013-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-11-01	Plan is a collectively bargained plan	No
2013-11-01	Plan funding arrangement – Insurance	Yes
2013-11-01	Plan benefit arrangement – Insurance	Yes
2012: HEARTHSTONE SENIOR COMMUNITIES 2012 form 5500 responses
2012-11-01	Type of plan entity	Single employer plan
2012-11-01	Submission has been amended	No
2012-11-01	This submission is the final filing	No
2012-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-11-01	Plan is a collectively bargained plan	No
2012-11-01	Plan funding arrangement – Insurance	Yes
2012-11-01	Plan benefit arrangement – Insurance	Yes
2011: HEARTHSTONE SENIOR COMMUNITIES 2011 form 5500 responses
2011-11-01	Type of plan entity	Single employer plan
2011-11-01	Submission has been amended	No
2011-11-01	This submission is the final filing	No
2011-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-11-01	Plan is a collectively bargained plan	No
2011-11-01	Plan funding arrangement – Insurance	Yes
2011-11-01	Plan benefit arrangement – Insurance	Yes
2009: HEARTHSTONE SENIOR COMMUNITIES 2009 form 5500 responses
2009-11-01	Type of plan entity	Single employer plan
2009-11-01	First time form 5500 has been submitted	Yes
2009-11-01	Submission has been amended	No
2009-11-01	This submission is the final filing	No
2009-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-11-01	Plan is a collectively bargained plan	No
2009-11-01	Plan funding arrangement – Insurance	Yes
2009-11-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number	1-016259-00
Policy instance	3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number	403513
Policy instance	2
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number	B9919
Policy instance	1
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number	B9919
Policy instance	1
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	BDC009051
Policy instance	2
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number	1-016259-00
Policy instance	3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number	1-016259-00
Policy instance	3
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	BDC009051
Policy instance	2
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number	B9919
Policy instance	1
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	BDC009051
Policy instance	3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number	B9919
Policy instance	2
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number	01-016259-00
Policy instance	1
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number	01-016259-00
Policy instance	1
ADVANTICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12278 )
Policy contract number	11118101, 8102
Policy instance	3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number	B9919
Policy instance	2
ADVANTICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12278 )
Policy contract number	08112501
Policy instance	4
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number	BDC009051
Policy instance	5
ADVANTICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12278 )
Policy contract number	08112501
Policy instance	4
ESSEX DENTAL BENEFITS (National Association of Insurance Commissioners NAIC id number: 43075 )
Policy contract number	11118101, 8102
Policy instance	3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number	B9919
Policy instance	2
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number	01-016259-00
Policy instance	1

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Company Name:	HEARTHSTONE SENIOR COMMUNITIES, INC.
Employer identification number (EIN):	232856813
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1996-08-08
Company Identification Number:	N96000004160
Legal Registered Office Address:	1200 SOUTH PINE ISLAND ROAD PLANTATION 33324