401k Plan data: THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN plan

THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 401k Plan overview

Plan Name	THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN
Plan identification number	001

THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Floor-offset plan - Plan benefits are subject to offset for retirement benefits provided by an employer-sponsored defined contribution plan.
Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
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.

401k Sponsoring company profile

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

Company Name: THE ELIZA JENNINGS HOME

Employer identification number (EIN): 341166722

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

Additional information about THE ELIZA JENNINGS HOME

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 1975-03-31

Company Identification Number: 464903

Legal Registered Office Address: 14650 DETROIT AVENUE - #710
-
LAKEWOOD
United States of America (USA)
44107

More information about THE ELIZA JENNINGS HOME

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-07-01 KATHLEEN M. SHIELDS 2017-05-10
001 2015-07-01 KATHLEEN M. SHIELDS
001 2014-07-01 KATHLEEN M. SHIELDS
001 2013-07-01 KATHLEEN M. SHIELDS
001 2012-07-01 KATHLEEN M. SHIELDS
001 2011-07-01 KATHLEEN M. SHIELDS
001 2009-07-01 KATHLEEN M. SHIELDS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2016-07-01	KATHLEEN M. SHIELDS	2017-05-10
001	2015-07-01	KATHLEEN M. SHIELDS
001	2014-07-01	KATHLEEN M. SHIELDS
001	2013-07-01	KATHLEEN M. SHIELDS
001	2012-07-01	KATHLEEN M. SHIELDS
001	2011-07-01	KATHLEEN M. SHIELDS
001	2009-07-01	KATHLEEN M. SHIELDS

Plan Statistics for THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN

401k plan membership statisitcs for THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN

Measure Date Value
2015: THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 213
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 1
Number of retired or separated participants receiving benefits 2015-07-01 46
Number of other retired or separated participants entitled to future benefits 2015-07-01 26
Total of all active and inactive participants 2015-07-01 73
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-07-01 1
Total participants 2015-07-01 74
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-07-01 0
2014: THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 218
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 41
Number of retired or separated participants receiving benefits 2014-07-01 88
Number of other retired or separated participants entitled to future benefits 2014-07-01 83
Total of all active and inactive participants 2014-07-01 212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-07-01 1
Total participants 2014-07-01 213
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-07-01 0
2013: THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 223
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 48
Number of retired or separated participants receiving benefits 2013-07-01 90
Number of other retired or separated participants entitled to future benefits 2013-07-01 80
Total of all active and inactive participants 2013-07-01 218
Total participants 2013-07-01 218
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 0
2012: THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 223
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 55
Number of retired or separated participants receiving benefits 2012-07-01 85
Number of other retired or separated participants entitled to future benefits 2012-07-01 83
Total of all active and inactive participants 2012-07-01 223
Total participants 2012-07-01 223
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 0
2011: THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 228
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 63
Number of retired or separated participants receiving benefits 2011-07-01 82
Number of other retired or separated participants entitled to future benefits 2011-07-01 78
Total of all active and inactive participants 2011-07-01 223
Total participants 2011-07-01 223
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 1
2009: THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 236
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 77
Number of retired or separated participants receiving benefits 2009-07-01 78
Number of other retired or separated participants entitled to future benefits 2009-07-01 78
Total of all active and inactive participants 2009-07-01 233
Total participants 2009-07-01 233
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 0

Measure	Date	Value
2015: THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	213
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	1
Number of retired or separated participants receiving benefits	2015-07-01	46
Number of other retired or separated participants entitled to future benefits	2015-07-01	26
Total of all active and inactive participants	2015-07-01	73
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-07-01	1
Total participants	2015-07-01	74
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-07-01	0
2014: THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	218
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	41
Number of retired or separated participants receiving benefits	2014-07-01	88
Number of other retired or separated participants entitled to future benefits	2014-07-01	83
Total of all active and inactive participants	2014-07-01	212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-07-01	1
Total participants	2014-07-01	213
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-07-01	0
2013: THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	223
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	48
Number of retired or separated participants receiving benefits	2013-07-01	90
Number of other retired or separated participants entitled to future benefits	2013-07-01	80
Total of all active and inactive participants	2013-07-01	218
Total participants	2013-07-01	218
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	0
2012: THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	223
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	55
Number of retired or separated participants receiving benefits	2012-07-01	85
Number of other retired or separated participants entitled to future benefits	2012-07-01	83
Total of all active and inactive participants	2012-07-01	223
Total participants	2012-07-01	223
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0
2011: THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	228
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	63
Number of retired or separated participants receiving benefits	2011-07-01	82
Number of other retired or separated participants entitled to future benefits	2011-07-01	78
Total of all active and inactive participants	2011-07-01	223
Total participants	2011-07-01	223
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	1
2009: THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	236
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	77
Number of retired or separated participants receiving benefits	2009-07-01	78
Number of other retired or separated participants entitled to future benefits	2009-07-01	78
Total of all active and inactive participants	2009-07-01	233
Total participants	2009-07-01	233
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	0

Financial Data on THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN

Measure	Date	Value
2016 : THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-06-30	$50,831
Total loss/gain on sale of assets	2016-06-30	$-117,541
Total of all expenses incurred	2016-06-30	$5,071,506
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-30	$5,033,281
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-30	$0
Value of total assets at end of year	2016-06-30	$1,597,280
Value of total assets at beginning of year	2016-06-30	$6,617,955
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-30	$38,225
Total interest from all sources	2016-06-30	$168,372
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-06-30	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2016-06-30	$303,980
Was this plan covered by a fidelity bond	2016-06-30	Yes
Value of fidelity bond cover	2016-06-30	$10,000,000
If this is an individual account plan, was there a blackout period	2016-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2016-06-30	No
Contributions received from participants	2016-06-30	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-06-30	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-30	No
Income. Non cash contributions	2016-06-30	$0
Value of net income/loss	2016-06-30	$-5,020,675
Value of net assets at end of year (total assets less liabilities)	2016-06-30	$1,597,280
Value of net assets at beginning of year (total assets less liabilities)	2016-06-30	$6,617,955
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-30	No
Were any leases to which the plan was party in default or uncollectible	2016-06-30	No
Investment advisory and management fees	2016-06-30	$38,225
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-06-30	$2,217,504
Interest earned on other investments	2016-06-30	$168,372
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-06-30	$1,597,280
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-06-30	$338,533
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-06-30	$338,533
Asset value of US Government securities at beginning of year	2016-06-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2016-06-30	No
Has the plan failed to provide any benefit when due under the plan	2016-06-30	No
Contributions received in cash from employer	2016-06-30	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-30	$5,033,281
Asset. Corporate debt instrument debt (other) at beginning of year	2016-06-30	$1,433,736
Assets. Corporate common stocks other than exployer securities at beginning of year	2016-06-30	$2,324,202
Did the plan have assets held for investment	2016-06-30	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	2016-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-30	No
Aggregate proceeds on sale of assets	2016-06-30	$-117,541
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-30	Disclaimer
Accountancy firm name	2016-06-30	MALONEY & NOVOTNY
Accountancy firm EIN	2016-06-30	340677006
2015 : THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2015-06-30	$90,107
Total unrealized appreciation/depreciation of assets	2015-06-30	$90,107
Total income from all sources (including contributions)	2015-06-30	$740,089
Total loss/gain on sale of assets	2015-06-30	$-491
Total of all expenses incurred	2015-06-30	$347,046
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$308,770
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$412,242
Value of total assets at end of year	2015-06-30	$6,617,955
Value of total assets at beginning of year	2015-06-30	$6,224,912
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$38,276
Total interest from all sources	2015-06-30	$238,231
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Administrative expenses professional fees incurred	2015-06-30	$38,276
Assets. Corporate prefeered stocks other than exployer securities at end of year	2015-06-30	$303,980
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2015-06-30	$297,224
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$10,000,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$393,043
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$6,617,955
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$6,224,912
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-06-30	$2,217,504
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-06-30	$1,964,218
Interest earned on other investments	2015-06-30	$238,231
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-06-30	$338,533
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-06-30	$270,417
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-06-30	$270,417
Asset value of US Government securities at end of year	2015-06-30	$0
Asset value of US Government securities at beginning of year	2015-06-30	$105,695
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	No
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Contributions received in cash from employer	2015-06-30	$412,242
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$308,770
Asset. Corporate debt instrument debt (other) at end of year	2015-06-30	$1,433,736
Asset. Corporate debt instrument debt (other) at beginning of year	2015-06-30	$1,455,098
Assets. Corporate common stocks other than exployer securities at end of year	2015-06-30	$2,324,202
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-06-30	$2,132,260
Did the plan have assets held for investment	2015-06-30	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	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Aggregate proceeds on sale of assets	2015-06-30	$-491
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-06-30	Disclaimer
Accountancy firm name	2015-06-30	MALONEY & NOVOTNY
Accountancy firm EIN	2015-06-30	340677006
2014 : THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets	2014-06-30	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2014-06-30	$552,285
Total unrealized appreciation/depreciation of assets	2014-06-30	$552,285
Total income from all sources (including contributions)	2014-06-30	$1,318,632
Total loss/gain on sale of assets	2014-06-30	$20,949
Total of all expenses incurred	2014-06-30	$329,546
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-06-30	$297,307
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-06-30	$576,276
Value of total assets at end of year	2014-06-30	$6,224,912
Value of total assets at beginning of year	2014-06-30	$5,235,826
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-06-30	$32,239
Total interest from all sources	2014-06-30	$54,708
Total dividends received (eg from common stock, registered investment company shares)	2014-06-30	$114,414
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-06-30	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-06-30	$67,269
Administrative expenses professional fees incurred	2014-06-30	$32,239
Assets. Corporate prefeered stocks other than exployer securities at end of year	2014-06-30	$297,224
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2014-06-30	$226,784
Was this plan covered by a fidelity bond	2014-06-30	Yes
Value of fidelity bond cover	2014-06-30	$10,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2014-06-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-06-30	No
Value of net income/loss	2014-06-30	$989,086
Value of net assets at end of year (total assets less liabilities)	2014-06-30	$6,224,912
Value of net assets at beginning of year (total assets less liabilities)	2014-06-30	$5,235,826
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-06-30	No
Were any leases to which the plan was party in default or uncollectible	2014-06-30	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-06-30	$1,964,218
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-06-30	$1,379,399
Interest earned on other investments	2014-06-30	$54,708
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-06-30	$270,417
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-06-30	$1,200,562
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-06-30	$1,200,562
Assets. Value of investments in 103.12 investment entities at beginning of year	2014-06-30	$459,374
Asset value of US Government securities at end of year	2014-06-30	$105,695
Asset value of US Government securities at beginning of year	2014-06-30	$104,117
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-06-30	No
Was there a failure to transmit to the plan any participant contributions	2014-06-30	No
Has the plan failed to provide any benefit when due under the plan	2014-06-30	No
Contributions received in cash from employer	2014-06-30	$576,276
Income. Dividends from preferred stock	2014-06-30	$17,316
Income. Dividends from common stock	2014-06-30	$29,829
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-06-30	$297,307
Asset. Corporate debt instrument debt (other) at end of year	2014-06-30	$1,455,098
Asset. Corporate debt instrument debt (other) at beginning of year	2014-06-30	$396,965
Assets. Corporate common stocks other than exployer securities at end of year	2014-06-30	$2,132,260
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-06-30	$1,468,625
Did the plan have assets held for investment	2014-06-30	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	2014-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-06-30	No
Aggregate proceeds on sale of assets	2014-06-30	$2,957,228
Aggregate carrying amount (costs) on sale of assets	2014-06-30	$2,936,279
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2014-06-30	Disclaimer
Accountancy firm name	2014-06-30	MALONEY & NOVOTNY
Accountancy firm EIN	2014-06-30	340677006
2013 : THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2013-06-30	$-38,148
Total unrealized appreciation/depreciation of assets	2013-06-30	$-38,148
Total income from all sources (including contributions)	2013-06-30	$850,778
Total loss/gain on sale of assets	2013-06-30	$-1,167
Total of all expenses incurred	2013-06-30	$268,810
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-06-30	$264,098
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-06-30	$504,118
Value of total assets at end of year	2013-06-30	$5,235,826
Value of total assets at beginning of year	2013-06-30	$4,653,858
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-06-30	$4,712
Total interest from all sources	2013-06-30	$20,187
Assets. Corporate prefeered stocks other than exployer securities at end of year	2013-06-30	$226,784
Was this plan covered by a fidelity bond	2013-06-30	Yes
Value of fidelity bond cover	2013-06-30	$10,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2013-06-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-06-30	No
Value of net income/loss	2013-06-30	$581,968
Value of net assets at end of year (total assets less liabilities)	2013-06-30	$5,235,826
Value of net assets at beginning of year (total assets less liabilities)	2013-06-30	$4,653,858
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-06-30	No
Were any leases to which the plan was party in default or uncollectible	2013-06-30	No
Investment advisory and management fees	2013-06-30	$4,712
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-06-30	$1,379,399
Interest earned on other investments	2013-06-30	$20,187
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-06-30	$1,200,562
Assets. Value of investments in 103.12 investment entities at end of year	2013-06-30	$459,374
Assets. Value of investments in 103.12 investment entities at beginning of year	2013-06-30	$4,653,858
Asset value of US Government securities at end of year	2013-06-30	$104,117
Net gain/loss from 103.12 investment entities	2013-06-30	$365,788
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-06-30	Yes
Was there a failure to transmit to the plan any participant contributions	2013-06-30	No
Has the plan failed to provide any benefit when due under the plan	2013-06-30	No
Contributions received in cash from employer	2013-06-30	$504,118
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-06-30	$264,098
Asset. Corporate debt instrument debt (other) at end of year	2013-06-30	$396,965
Assets. Corporate common stocks other than exployer securities at end of year	2013-06-30	$1,468,625
Did the plan have assets held for investment	2013-06-30	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	2013-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-06-30	No
Aggregate proceeds on sale of assets	2013-06-30	$3,597,527
Aggregate carrying amount (costs) on sale of assets	2013-06-30	$3,598,694
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2013-06-30	Disclaimer
Accountancy firm name	2013-06-30	MALONEY & NOVOTNY
Accountancy firm EIN	2013-06-30	340677006
2012 : THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-06-30	$431,546
Total of all expenses incurred	2012-06-30	$242,251
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-06-30	$242,251
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-06-30	$409,576
Value of total assets at end of year	2012-06-30	$4,653,858
Value of total assets at beginning of year	2012-06-30	$4,464,563
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-06-30	No
Was this plan covered by a fidelity bond	2012-06-30	Yes
Value of fidelity bond cover	2012-06-30	$10,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2012-06-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-06-30	No
Value of net income/loss	2012-06-30	$189,295
Value of net assets at end of year (total assets less liabilities)	2012-06-30	$4,653,858
Value of net assets at beginning of year (total assets less liabilities)	2012-06-30	$4,464,563
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-06-30	No
Were any leases to which the plan was party in default or uncollectible	2012-06-30	No
Assets. Value of investments in 103.12 investment entities at end of year	2012-06-30	$4,653,858
Assets. Value of investments in 103.12 investment entities at beginning of year	2012-06-30	$4,372,331
Net gain/loss from 103.12 investment entities	2012-06-30	$21,970
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-06-30	No
Was there a failure to transmit to the plan any participant contributions	2012-06-30	No
Has the plan failed to provide any benefit when due under the plan	2012-06-30	No
Contributions received in cash from employer	2012-06-30	$409,576
Employer contributions (assets) at beginning of year	2012-06-30	$92,232
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-06-30	$242,251
Did the plan have assets held for investment	2012-06-30	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	2012-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2012-06-30	Disclaimer
Accountancy firm name	2012-06-30	MALONEY & NOVOTNY
Accountancy firm EIN	2012-06-30	340677006
2011 : THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-06-30	$1,042,274
Total of all expenses incurred	2011-06-30	$225,097
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-06-30	$225,097
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-06-30	$368,928
Value of total assets at end of year	2011-06-30	$4,464,563
Value of total assets at beginning of year	2011-06-30	$3,647,386
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-06-30	No
Was this plan covered by a fidelity bond	2011-06-30	Yes
Value of fidelity bond cover	2011-06-30	$10,000,000
If this is an individual account plan, was there a blackout period	2011-06-30	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-06-30	$0
Were there any nonexempt tranactions with any party-in-interest	2011-06-30	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-06-30	No
Value of net income/loss	2011-06-30	$817,177
Value of net assets at end of year (total assets less liabilities)	2011-06-30	$4,464,563
Value of net assets at beginning of year (total assets less liabilities)	2011-06-30	$3,647,386
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-06-30	No
Were any leases to which the plan was party in default or uncollectible	2011-06-30	No
Assets. Value of investments in 103.12 investment entities at end of year	2011-06-30	$4,372,331
Assets. Value of investments in 103.12 investment entities at beginning of year	2011-06-30	$3,647,386
Net gain/loss from 103.12 investment entities	2011-06-30	$673,346
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-06-30	No
Was there a failure to transmit to the plan any participant contributions	2011-06-30	No
Has the plan failed to provide any benefit when due under the plan	2011-06-30	No
Contributions received in cash from employer	2011-06-30	$368,928
Employer contributions (assets) at end of year	2011-06-30	$92,232
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-06-30	$225,097
Did the plan have assets held for investment	2011-06-30	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	2011-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-06-30	Yes
Opinion of an independent qualified public accountant for this plan	2011-06-30	Disclaimer
Accountancy firm name	2011-06-30	MALONEY & NOVOTNY LLC
Accountancy firm EIN	2011-06-30	340677006
2010 : THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-06-30	$0

Form 5500 Responses for THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN

2015: THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2009: THE ELIZA JENNINGS HOME DEFINED BENEFIT PENSION PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Plan is a collectively bargained plan	Yes
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes

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Company Name:	THE ELIZA JENNINGS HOME
Employer identification number (EIN):	341166722
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	1975-03-31
Company Identification Number:	464903
Legal Registered Office Address:	14650 DETROIT AVENUE - #710 - LAKEWOOD United States of America (USA) 44107