401k Plan data: REGENCY PACIFIC 401(K) PLAN plan

REGENCY PACIFIC 401(K) PLAN 401k Plan overview

Plan Name	REGENCY PACIFIC 401(K) PLAN
Plan identification number	001

REGENCY PACIFIC 401(K) PLAN 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.
Plan covering Self-Employed individuals.
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

REGENCY PACIFIC MANAGEMENT, LLC has sponsored the creation of one or more 401k plans.

Company Name: REGENCY PACIFIC MANAGEMENT, LLC

Employer identification number (EIN): 264432432

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

Additional information about REGENCY PACIFIC MANAGEMENT, LLC

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 2009-03-12

Company Identification Number: 602907183

Legal Registered Office Address: 3400 CAPITOL BLVD SE STE 101

TUMWATER
United States of America (USA)
985013351

More information about REGENCY PACIFIC MANAGEMENT, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan REGENCY PACIFIC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 CRAIG BOYES 2023-10-13 CRAIG BOYES 2023-10-13
001 2021-01-01 CRAIG BOYES 2022-10-15 CRAIG BOYES 2022-10-15
001 2019-01-01 DAN PORTER 2020-10-09 DAN PORTER 2020-10-09
001 2018-01-01 DAN PORTER 2019-10-14 DAN PORTER 2019-10-14
001 2013-01-01 ANGELA NELSON
001 2012-01-01 ANGELA NELSON
001 2011-01-01 ANGELA NELSON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	CRAIG BOYES	2023-10-13	CRAIG BOYES	2023-10-13
001	2021-01-01	CRAIG BOYES	2022-10-15	CRAIG BOYES	2022-10-15
001	2019-01-01	DAN PORTER	2020-10-09	DAN PORTER	2020-10-09
001	2018-01-01	DAN PORTER	2019-10-14	DAN PORTER	2019-10-14
001	2013-01-01	ANGELA NELSON
001	2012-01-01	ANGELA NELSON
001	2011-01-01	ANGELA NELSON

Plan Statistics for REGENCY PACIFIC 401(K) PLAN

401k plan membership statisitcs for REGENCY PACIFIC 401(K) PLAN

Measure Date Value
2022: REGENCY PACIFIC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 2,136
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 2,104
Number of other retired or separated participants entitled to future benefits 2022-01-01 98
Total of all active and inactive participants 2022-01-01 2,202
Total participants 2022-01-01 2,202
Number of participants with account balances 2022-01-01 288
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: REGENCY PACIFIC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 2,274
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 2,082
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 89
Total of all active and inactive participants 2021-01-01 2,171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 2,171
Number of participants with account balances 2021-01-01 279
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2019: REGENCY PACIFIC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 2,262
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 2,979
Number of other retired or separated participants entitled to future benefits 2019-01-01 15
Total of all active and inactive participants 2019-01-01 2,994
Total participants 2019-01-01 2,994
Number of participants with account balances 2019-01-01 256
2018: REGENCY PACIFIC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,758
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,683
Number of other retired or separated participants entitled to future benefits 2018-01-01 19
Total of all active and inactive participants 2018-01-01 1,702
Total participants 2018-01-01 1,702
Number of participants with account balances 2018-01-01 196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2013: REGENCY PACIFIC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3,635
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 0
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: REGENCY PACIFIC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 3,561
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3,172
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 463
Total of all active and inactive participants 2012-01-01 3,635
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 3,635
Number of participants with account balances 2012-01-01 472
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: REGENCY PACIFIC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 3,087
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 3,269
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 127
Total of all active and inactive participants 2011-01-01 3,396
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 3,397
Number of participants with account balances 2011-01-01 456
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2022: REGENCY PACIFIC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	2,136
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	2,104
Number of other retired or separated participants entitled to future benefits	2022-01-01	98
Total of all active and inactive participants	2022-01-01	2,202
Total participants	2022-01-01	2,202
Number of participants with account balances	2022-01-01	288
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: REGENCY PACIFIC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	2,274
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	2,082
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	89
Total of all active and inactive participants	2021-01-01	2,171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	2,171
Number of participants with account balances	2021-01-01	279
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2019: REGENCY PACIFIC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	2,262
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	2,979
Number of other retired or separated participants entitled to future benefits	2019-01-01	15
Total of all active and inactive participants	2019-01-01	2,994
Total participants	2019-01-01	2,994
Number of participants with account balances	2019-01-01	256
2018: REGENCY PACIFIC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,758
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,683
Number of other retired or separated participants entitled to future benefits	2018-01-01	19
Total of all active and inactive participants	2018-01-01	1,702
Total participants	2018-01-01	1,702
Number of participants with account balances	2018-01-01	196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2013: REGENCY PACIFIC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3,635
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	0
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: REGENCY PACIFIC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	3,561
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3,172
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	463
Total of all active and inactive participants	2012-01-01	3,635
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	3,635
Number of participants with account balances	2012-01-01	472
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: REGENCY PACIFIC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	3,087
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	3,269
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	127
Total of all active and inactive participants	2011-01-01	3,396
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	3,397
Number of participants with account balances	2011-01-01	456
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on REGENCY PACIFIC 401(K) PLAN

Measure	Date	Value
2022 : REGENCY PACIFIC 401(K) PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$4,464
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$14,874
Total income from all sources (including contributions)	2022-12-31	$187,268
Total of all expenses incurred	2022-12-31	$244,832
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$201,028
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$929,453
Value of total assets at end of year	2022-12-31	$4,101,387
Value of total assets at beginning of year	2022-12-31	$4,169,361
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$43,804
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$872,724
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$56,729
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$4,464
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$14,874
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-57,564
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$4,096,923
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$4,154,487
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$18,181
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$4,101,387
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$4,169,361
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-742,185
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$201,028
Contract administrator fees	2022-12-31	$25,623
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	SWEENEY CONRAD, P.S.
Accountancy firm EIN	2022-12-31	911301672
2021 : REGENCY PACIFIC 401(K) PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$14,874
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$92,803
Total income from all sources (including contributions)	2021-12-31	$1,344,169
Total of all expenses incurred	2021-12-31	$317,826
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$274,990
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$833,184
Value of total assets at end of year	2021-12-31	$4,169,361
Value of total assets at beginning of year	2021-12-31	$3,220,947
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$42,836
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$778,192
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$54,992
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$14,874
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$92,803
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$1,026,343
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$4,154,487
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$3,128,144
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$18,679
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$4,169,361
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$3,220,947
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$510,985
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$274,990
Contract administrator fees	2021-12-31	$24,157
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	SWEENEY CONRAD, P.S.
Accountancy firm EIN	2021-12-31	911301672
2019 : REGENCY PACIFIC 401(K) PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$1,114,361
Total of all expenses incurred	2019-12-31	$67,064
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$51,922
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$867,203
Value of total assets at end of year	2019-12-31	$1,838,885
Value of total assets at beginning of year	2019-12-31	$791,588
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$15,142
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$80,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$761,031
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$106,172
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$1,047,297
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$1,838,885
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$791,588
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$6,432
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,838,885
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$791,588
Net investment gain/loss from pooled separate accounts	2019-12-31	$247,158
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$51,922
Contract administrator fees	2019-12-31	$8,710
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	SWEENEY CONRAD, P.S.
Accountancy firm EIN	2019-12-31	911301672
2018 : REGENCY PACIFIC 401(K) PLAN 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$825,414
Total of all expenses incurred	2018-12-31	$33,826
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$26,637
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$885,936
Value of total assets at end of year	2018-12-31	$791,588
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$7,189
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$80,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$680,288
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$205,648
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$791,588
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$791,588
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$2,316
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$791,588
Net investment gain/loss from pooled separate accounts	2018-12-31	$-60,522
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$26,637
Contract administrator fees	2018-12-31	$4,873
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	SWEENEY CONRAD, P.S.
Accountancy firm EIN	2018-12-31	911301672
2013 : REGENCY PACIFIC 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-08-21	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-08-21	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-08-21	$0
Total income from all sources (including contributions)	2013-08-21	$351,846
Total loss/gain on sale of assets	2013-08-21	$0
Total of all expenses incurred	2013-08-21	$5,062,461
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-08-21	$5,017,468
Value of total corrective distributions	2013-08-21	$17,015
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-08-21	$460
Value of total assets at end of year	2013-08-21	$0
Value of total assets at beginning of year	2013-08-21	$4,710,615
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-08-21	$27,978
Total interest from all sources	2013-08-21	$1,153
Total dividends received (eg from common stock, registered investment company shares)	2013-08-21	$15,302
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-08-21	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2013-08-21	$0
Total dividends received from registered investment company shares (eg mutual funds)	2013-08-21	$15,302
Was this plan covered by a fidelity bond	2013-08-21	Yes
Value of fidelity bond cover	2013-08-21	$1,500,000
If this is an individual account plan, was there a blackout period	2013-08-21	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-08-21	$0
Were there any nonexempt tranactions with any party-in-interest	2013-08-21	No
Contributions received from participants	2013-08-21	$460
Participant contributions at end of year	2013-08-21	$0
Participant contributions at beginning of year	2013-08-21	$45,638
Participant contributions at end of year	2013-08-21	$0
Participant contributions at beginning of year	2013-08-21	$7,946
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-08-21	No
Value of net income/loss	2013-08-21	$-4,710,615
Value of net assets at end of year (total assets less liabilities)	2013-08-21	$0
Value of net assets at beginning of year (total assets less liabilities)	2013-08-21	$4,710,615
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-08-21	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-08-21	No
Were any leases to which the plan was party in default or uncollectible	2013-08-21	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-08-21	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-08-21	$4,532,116
Interest on participant loans	2013-08-21	$1,142
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-08-21	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-08-21	$124,915
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-08-21	$124,915
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-08-21	$11
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-08-21	$334,931
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-08-21	No
Was there a failure to transmit to the plan any participant contributions	2013-08-21	Yes
Has the plan failed to provide any benefit when due under the plan	2013-08-21	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-08-21	$5,017,468
Contract administrator fees	2013-08-21	$27,978
Did the plan have assets held for investment	2013-08-21	No
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	2013-08-21	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-08-21	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-08-21	Yes
Opinion of an independent qualified public accountant for this plan	2013-08-21	Disclaimer
Accountancy firm name	2013-08-21	HANSEN HUNTER AND CO. P.C
Accountancy firm EIN	2013-08-21	930891763
2012 : REGENCY PACIFIC 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$1,167,392
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$502,391
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$478,499
Value of total corrective distributions	2012-12-31	$20,502
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$620,005
Value of total assets at end of year	2012-12-31	$4,710,615
Value of total assets at beginning of year	2012-12-31	$4,045,614
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$3,390
Total interest from all sources	2012-12-31	$2,122
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$52,482
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$52,482
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,500,000
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	$618,292
Participant contributions at end of year	2012-12-31	$45,638
Participant contributions at beginning of year	2012-12-31	$61,340
Participant contributions at end of year	2012-12-31	$7,946
Participant contributions at beginning of year	2012-12-31	$2,640
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$1,713
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	$665,001
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$4,710,615
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$4,045,614
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
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	$4,532,116
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$3,865,027
Interest on participant loans	2012-12-31	$2,104
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$124,915
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$116,607
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$116,607
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$18
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$492,783
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	Yes
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$478,499
Contract administrator fees	2012-12-31	$3,390
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	HANSEN HUNTER AND CO. P.C
Accountancy firm EIN	2012-12-31	930891763
2011 : REGENCY PACIFIC 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$306,968
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$310,497
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$304,751
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$616,230
Value of total assets at end of year	2011-12-31	$4,045,614
Value of total assets at beginning of year	2011-12-31	$4,049,143
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$5,746
Total interest from all sources	2011-12-31	$1,788
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$64,982
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$64,982
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
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	$616,230
Participant contributions at end of year	2011-12-31	$61,340
Participant contributions at beginning of year	2011-12-31	$23,348
Participant contributions at end of year	2011-12-31	$2,640
Participant contributions at beginning of year	2011-12-31	$2,542
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	$-3,529
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$4,045,614
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$4,049,143
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	$3,865,027
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$3,907,129
Interest on participant loans	2011-12-31	$1,775
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$116,607
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$116,124
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$116,124
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$13
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-376,032
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	Yes
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	$304,751
Contract administrator fees	2011-12-31	$5,746
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	HANSEN HUNTER AND CO. P.C
Accountancy firm EIN	2011-12-31	930891763
2010 : REGENCY PACIFIC 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$1,123,548
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$598,071
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$594,450
Value of total corrective distributions	2010-12-31	$2,871
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$577,001
Value of total assets at end of year	2010-12-31	$4,049,143
Value of total assets at beginning of year	2010-12-31	$3,523,666
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$750
Total interest from all sources	2010-12-31	$1,018
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$52,469
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$52,469
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
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	$565,148
Participant contributions at end of year	2010-12-31	$23,348
Participant contributions at beginning of year	2010-12-31	$19,444
Participant contributions at end of year	2010-12-31	$2,542
Participant contributions at beginning of year	2010-12-31	$5,203
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$11,853
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	$525,477
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$4,049,143
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$3,523,666
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	$3,907,129
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$3,319,789
Interest on participant loans	2010-12-31	$1,002
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$116,124
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$179,230
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$179,230
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$16
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$493,060
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$594,450
Contract administrator fees	2010-12-31	$750
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
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	MOSS ADAMS LLO
Accountancy firm EIN	2010-12-31	910189318

Form 5500 Responses for REGENCY PACIFIC 401(K) PLAN

2022: REGENCY PACIFIC 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: REGENCY PACIFIC 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2019: REGENCY PACIFIC 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: REGENCY PACIFIC 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	First time form 5500 has been submitted	Yes
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2013: REGENCY PACIFIC 401(K) 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	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: REGENCY PACIFIC 401(K) 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 – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: REGENCY PACIFIC 401(K) 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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

131580

Policy instance

Insurance contract or identification number	131580
Number of Individuals Covered	310
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $1,978
Total amount of fees paid to insurance company	USD $0
Commission paid to Insurance Broker	USD $1,978
Insurance broker organization code?	5

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

131580

Policy instance

Insurance contract or identification number	131580
Number of Individuals Covered	297
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $1,831
Total amount of fees paid to insurance company	USD $0
Commission paid to Insurance Broker	USD $1,831
Amount paid for insurance broker fees	0
Insurance broker organization code?	5

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

131580

Policy instance

Insurance contract or identification number	131580
Number of Individuals Covered	266
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $1,279
Total amount of fees paid to insurance company	USD $0
Commission paid to Insurance Broker	USD $1,279
Insurance broker organization code?	5

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

131580

Policy instance

Insurance contract or identification number	131580
Number of Individuals Covered	209
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $6,633
Total amount of fees paid to insurance company	USD $0
Commission paid to Insurance Broker	USD $6,633
Insurance broker organization code?	5

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Company Name:	REGENCY PACIFIC MANAGEMENT, LLC
Employer identification number (EIN):	264432432
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	2009-03-12
Company Identification Number:	602907183
Legal Registered Office Address:	3400 CAPITOL BLVD SE STE 101 TUMWATER United States of America (USA) 985013351