401k Plan data: CASA PARAISO DEFINED BENEFIT PENSION PLAN plan

CASA PARAISO DEFINED BENEFIT PENSION PLAN 401k Plan overview

Plan Name	CASA PARAISO DEFINED BENEFIT PENSION PLAN
Plan identification number	001

CASA PARAISO DEFINED BENEFIT PENSION PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
Plan covered by PBGC that was terminated and closed out for PBGC purposes - Before the end of the plan year (or a prior plan year), (1) the plan terminated in a standard (or distress) termination and completed the distribution of plan assets in satisfaction of all benefit liabilities (or all ERISA Title IV benefits for distress termination); or (2) a trustee was appointed for a terminated plan pursuant to ERISA section 4042.
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
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.
Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

CASA PARAISO has sponsored the creation of one or more 401k plans.

Company Name: CASA PARAISO

Employer identification number (EIN): 330150926

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CASA PARAISO DEFINED BENEFIT PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 GREGORY S. PEARSON, CPA, APA 2015-04-04
001 2013-01-01 GREGORY S. PEARSON, CPA, APA 2014-07-03
001 2012-01-01 GREGORY S. PEARSON, CPA, APA
001 2011-01-01 GREGORY PEARSON
001 2009-01-01 GREGORY PEARSON

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2014-01-01	GREGORY S. PEARSON, CPA, APA	2015-04-04
001	2013-01-01	GREGORY S. PEARSON, CPA, APA	2014-07-03
001	2012-01-01	GREGORY S. PEARSON, CPA, APA
001	2011-01-01	GREGORY PEARSON
001	2009-01-01	GREGORY PEARSON

Plan Statistics for CASA PARAISO DEFINED BENEFIT PENSION PLAN

401k plan membership statisitcs for CASA PARAISO DEFINED BENEFIT PENSION PLAN

Measure Date Value
2012: CASA PARAISO DEFINED BENEFIT PENSION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 5
Number of retired or separated participants receiving benefits 2012-01-01 1
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 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: CASA PARAISO DEFINED BENEFIT PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 5
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 1
Total of all active and inactive participants 2011-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: CASA PARAISO DEFINED BENEFIT PENSION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 6
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 5
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 1
Total of all active and inactive participants 2009-01-01 6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2012: CASA PARAISO DEFINED BENEFIT PENSION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	5
Number of retired or separated participants receiving benefits	2012-01-01	1
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	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: CASA PARAISO DEFINED BENEFIT PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	5
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	1
Total of all active and inactive participants	2011-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: CASA PARAISO DEFINED BENEFIT PENSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	6
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	5
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	1
Total of all active and inactive participants	2009-01-01	6
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on CASA PARAISO DEFINED BENEFIT PENSION PLAN

Measure	Date	Value
2012 : CASA PARAISO DEFINED BENEFIT PENSION PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$41,137
Total plan assets at end of year	2012-12-31	$180,911
Total plan assets at beginning of year	2012-12-31	$139,774
Value of fidelity bond covering the plan	2012-12-31	$60,000
Other income received	2012-12-31	$-60,340
Net income (gross income less expenses)	2012-12-31	$41,137
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$180,911
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$139,774
Total contributions received or receivable from employer(s)	2012-12-31	$101,477
2011 : CASA PARAISO DEFINED BENEFIT PENSION PLAN 2011 401k financial data
Total plan liabilities at end of year	2011-12-31	$0
Total plan liabilities at beginning of year	2011-12-31	$0
Total income from all sources	2011-12-31	$12,160
Total plan assets at end of year	2011-12-31	$139,774
Total plan assets at beginning of year	2011-12-31	$127,614
Value of fidelity bond covering the plan	2011-12-31	$60,000
Other income received	2011-12-31	$-2,094
Net income (gross income less expenses)	2011-12-31	$12,160
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$139,774
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$127,614
Assets. Value of real-estate (other than employer real property)	2011-12-31	$63,661
Total contributions received or receivable from employer(s)	2011-12-31	$14,254
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : CASA PARAISO DEFINED BENEFIT PENSION PLAN 2010 401k financial data
Total plan liabilities at end of year	2010-12-31	$0
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$-15,076
Total plan assets at end of year	2010-12-31	$127,614
Total plan assets at beginning of year	2010-12-31	$142,690
Value of fidelity bond covering the plan	2010-12-31	$60,000
Other income received	2010-12-31	$-19,345
Net income (gross income less expenses)	2010-12-31	$-15,076
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$127,614
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$142,690
Assets. Value of real-estate (other than employer real property)	2010-12-31	$63,668
Total contributions received or receivable from employer(s)	2010-12-31	$4,269
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : CASA PARAISO DEFINED BENEFIT PENSION PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for CASA PARAISO DEFINED BENEFIT PENSION PLAN

2012: CASA PARAISO DEFINED BENEFIT PENSION PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CASA PARAISO DEFINED BENEFIT PENSION 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
2009: CASA PARAISO DEFINED BENEFIT PENSION 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	CASA PARAISO
Employer identification number (EIN):	330150926
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities