401k Plan data: FRIENDSHIP MANOR, INC. LIFE INSURANCE PLAN plan

FRIENDSHIP MANOR, INC. LIFE INSURANCE PLAN 401k Plan overview

Plan Name	FRIENDSHIP MANOR, INC. LIFE INSURANCE PLAN
Plan identification number	501

FRIENDSHIP MANOR, INC. LIFE INSURANCE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance

401k Sponsoring company profile

FRIENDSHIP MANOR INC. has sponsored the creation of one or more 401k plans.

Company Name: FRIENDSHIP MANOR INC.

Employer identification number (EIN): 362524984

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FRIENDSHIP MANOR, INC. LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2024-01-01 PATRICK DEVINNEY
501 2023-01-01
501 2023-01-01 PATRICK DEVINNEY
501 2022-01-01
501 2022-01-01 PATRICK DEVINNEY
501 2021-01-01
501 2021-01-01 PATRICK DEVINNEY
501 2020-01-01
501 2019-01-01
501 2018-01-01
501 2017-01-01 PATRICK DEVINNEY
501 2016-01-01 PATRICK DEVINNEY
501 2015-01-01 PATRICK DEVINNEY
501 2014-01-01 PATRICK DEVINNEY
501 2013-01-01 PATRICK DEVINNEY
501 2012-01-01 PATRICK DEVINNEY
501 2011-01-01 PATRICK DEVINNEY
501 2010-01-01 PATRICK DEVINNEY
501 2009-01-01 RICK DEVINNEY

Form 5500 Responses for FRIENDSHIP MANOR, INC. LIFE INSURANCE PLAN

2023: FRIENDSHIP MANOR, INC. LIFE INSURANCE PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2022: FRIENDSHIP MANOR, INC. LIFE INSURANCE PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: FRIENDSHIP MANOR, INC. LIFE INSURANCE PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: FRIENDSHIP MANOR, INC. LIFE INSURANCE PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: FRIENDSHIP MANOR, INC. LIFE INSURANCE PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: FRIENDSHIP MANOR, INC. LIFE INSURANCE PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: FRIENDSHIP MANOR, INC. LIFE INSURANCE PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: FRIENDSHIP MANOR, INC. LIFE INSURANCE PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: FRIENDSHIP MANOR, INC. LIFE INSURANCE PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: FRIENDSHIP MANOR, INC. LIFE INSURANCE PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: FRIENDSHIP MANOR, INC. LIFE INSURANCE PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: FRIENDSHIP MANOR, INC. LIFE INSURANCE PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: FRIENDSHIP MANOR, INC. LIFE INSURANCE PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: FRIENDSHIP MANOR, INC. LIFE INSURANCE PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: FRIENDSHIP MANOR, INC. LIFE INSURANCE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	First time form 5500 has been submitted	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

168686

Policy instance

Insurance contract or identification number	168686
Number of Individuals Covered	94
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $1,213
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $11,893
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

168686

Policy instance

Insurance contract or identification number	168686
Number of Individuals Covered	103
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $1,321
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

168686

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

5729594

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

5729594

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

KM05729594

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

KM05729594

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

KM05729594

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

KM05729594

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

KM05729594

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

KM05729594

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

KM05729594

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

KM05729594

Policy instance

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H56065

Policy instance

Potentially related plans

FRIENDSHIP MANOR, INC. ANCILLARY BENEFIT PLAN [EIN = 610447252]

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Company Name:	FRIENDSHIP MANOR INC.
Employer identification number (EIN):	362524984
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Plan id#	Filing Submission Date	Name of Administrator
501	2024-01-01	PATRICK DEVINNEY
501	2023-01-01
501	2023-01-01	PATRICK DEVINNEY
501	2022-01-01
501	2022-01-01	PATRICK DEVINNEY
501	2021-01-01
501	2021-01-01	PATRICK DEVINNEY
501	2020-01-01
501	2019-01-01
501	2018-01-01
501	2017-01-01	PATRICK DEVINNEY
501	2016-01-01	PATRICK DEVINNEY
501	2015-01-01	PATRICK DEVINNEY
501	2014-01-01	PATRICK DEVINNEY
501	2013-01-01	PATRICK DEVINNEY
501	2012-01-01	PATRICK DEVINNEY
501	2011-01-01	PATRICK DEVINNEY
501	2010-01-01	PATRICK DEVINNEY
501	2009-01-01	RICK DEVINNEY