401k Plan data: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN plan

LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN
Plan identification number	001

LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

LCB SENIOR LIVING, LLC has sponsored the creation of one or more 401k plans.

Company Name: LCB SENIOR LIVING, LLC

Employer identification number (EIN): 383900044

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

Additional information about LCB SENIOR LIVING, LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date: 2013-03-01

Company Identification Number: 5296616

Legal Registered Office Address: 2711 Centerville Rd
Suite 400
Wilmington
United States of America (USA)
19808

More information about LCB SENIOR LIVING, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01 SETH LARNER 2021-10-15 SETH LARNER 2020-10-15
001 2019-01-01 SETH LARNER 2020-10-15 DANIELLE BRETON 2020-10-15
001 2018-01-01 LORI LEPAGE 2019-10-15
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01 LORI LEPAGE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01	SETH LARNER	2021-10-15	SETH LARNER	2020-10-15
001	2019-01-01	SETH LARNER	2020-10-15	DANIELLE BRETON	2020-10-15
001	2018-01-01	LORI LEPAGE	2019-10-15
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01	LORI LEPAGE

Plan Statistics for LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 3,886
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 1,883
Number of retired or separated participants receiving benefits 2022-01-01 2
Number of other retired or separated participants entitled to future benefits 2022-01-01 812
Total of all active and inactive participants 2022-01-01 2,697
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 2,697
Number of participants with account balances 2022-01-01 2,661
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 620
2021: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 2,930
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 2,151
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 1,734
Total of all active and inactive participants 2021-01-01 3,885
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 1
Total participants 2021-01-01 3,886
Number of participants with account balances 2021-01-01 3,754
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 248
2020: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 2,242
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 1,651
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 1,209
Total of all active and inactive participants 2020-01-01 2,860
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 2,860
Number of participants with account balances 2020-01-01 2,860
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 2,742
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 1,959
Number of retired or separated participants receiving benefits 2019-01-01 193
Total of all active and inactive participants 2019-01-01 2,152
Total participants 2019-01-01 2,152
Number of participants with account balances 2019-01-01 2,105
2018: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 2,297
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,332
Number of retired or separated participants receiving benefits 2018-01-01 25
Number of other retired or separated participants entitled to future benefits 2018-01-01 1,385
Total of all active and inactive participants 2018-01-01 2,742
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 2,742
Number of participants with account balances 2018-01-01 2,496
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,754
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 1,126
Number of retired or separated participants receiving benefits 2017-01-01 7
Number of other retired or separated participants entitled to future benefits 2017-01-01 981
Total of all active and inactive participants 2017-01-01 2,114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 2,114
Number of participants with account balances 2017-01-01 1,885
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 379
2016: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,056
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1,195
Number of retired or separated participants receiving benefits 2016-01-01 4
Number of other retired or separated participants entitled to future benefits 2016-01-01 555
Total of all active and inactive participants 2016-01-01 1,754
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 1,754
Number of participants with account balances 2016-01-01 1,541
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 529
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 825
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 239
Total of all active and inactive participants 2015-01-01 1,064
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 1,064
Number of participants with account balances 2015-01-01 891
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 249
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 492
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 37
Total of all active and inactive participants 2014-01-01 529
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 529
Number of participants with account balances 2014-01-01 420
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0

Measure	Date	Value
2022: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	3,886
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	1,883
Number of retired or separated participants receiving benefits	2022-01-01	2
Number of other retired or separated participants entitled to future benefits	2022-01-01	812
Total of all active and inactive participants	2022-01-01	2,697
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	2,697
Number of participants with account balances	2022-01-01	2,661
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	620
2021: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	2,930
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	2,151
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	1,734
Total of all active and inactive participants	2021-01-01	3,885
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	1
Total participants	2021-01-01	3,886
Number of participants with account balances	2021-01-01	3,754
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	248
2020: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	2,242
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	1,651
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	1,209
Total of all active and inactive participants	2020-01-01	2,860
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	2,860
Number of participants with account balances	2020-01-01	2,860
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	2,742
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	1,959
Number of retired or separated participants receiving benefits	2019-01-01	193
Total of all active and inactive participants	2019-01-01	2,152
Total participants	2019-01-01	2,152
Number of participants with account balances	2019-01-01	2,105
2018: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	2,297
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,332
Number of retired or separated participants receiving benefits	2018-01-01	25
Number of other retired or separated participants entitled to future benefits	2018-01-01	1,385
Total of all active and inactive participants	2018-01-01	2,742
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	2,742
Number of participants with account balances	2018-01-01	2,496
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,754
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	1,126
Number of retired or separated participants receiving benefits	2017-01-01	7
Number of other retired or separated participants entitled to future benefits	2017-01-01	981
Total of all active and inactive participants	2017-01-01	2,114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	2,114
Number of participants with account balances	2017-01-01	1,885
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	379
2016: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,056
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1,195
Number of retired or separated participants receiving benefits	2016-01-01	4
Number of other retired or separated participants entitled to future benefits	2016-01-01	555
Total of all active and inactive participants	2016-01-01	1,754
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	1,754
Number of participants with account balances	2016-01-01	1,541
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	529
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	825
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	239
Total of all active and inactive participants	2015-01-01	1,064
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	1,064
Number of participants with account balances	2015-01-01	891
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	249
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	492
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	37
Total of all active and inactive participants	2014-01-01	529
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	529
Number of participants with account balances	2014-01-01	420
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0

Financial Data on LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2022 : LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets	2022-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2022-12-31	$0
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Expenses. Interest paid	2022-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$1,377,179
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$1,516,546
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$1,433,710
Expenses. Certain deemed distributions of participant loans	2022-12-31	$4,290
Value of total corrective distributions	2022-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$4,174,701
Value of total assets at end of year	2022-12-31	$11,891,771
Value of total assets at beginning of year	2022-12-31	$12,031,138
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$78,546
Total income from rents	2022-12-31	$0
Total interest from all sources	2022-12-31	$5,643
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$18,865
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$18,865
Assets. Real estate other than employer real property at end of year	2022-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2022-12-31	$0
Administrative expenses professional fees incurred	2022-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2022-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2022-12-31	$0
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	Yes
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$3,100,509
Participant contributions at end of year	2022-12-31	$118,837
Participant contributions at beginning of year	2022-12-31	$113,333
Participant contributions at end of year	2022-12-31	$0
Participant contributions at beginning of year	2022-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2022-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2022-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$767,722
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2022-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$0
Assets. Loans (other than to participants) at end of year	2022-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2022-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$0
Other income not declared elsewhere	2022-12-31	$0
Administrative expenses (other) incurred	2022-12-31	$0
Total non interest bearing cash at end of year	2022-12-31	$0
Total non interest bearing cash at beginning of year	2022-12-31	$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	2022-12-31	No
Income. Non cash contributions	2022-12-31	$0
Value of net income/loss	2022-12-31	$-139,367
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$11,891,771
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$12,031,138
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
Assets. partnership/joint venture interests at end of year	2022-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2022-12-31	$0
Investment advisory and management fees	2022-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$534,651
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$0
Value of interest in pooled separate accounts at end of year	2022-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$11,611,304
Interest on participant loans	2022-12-31	$5,305
Income. Interest from loans (other than to participants)	2022-12-31	$0
Interest earned on other investments	2022-12-31	$338
Income. Interest from US Government securities	2022-12-31	$0
Income. Interest from corporate debt instruments	2022-12-31	$0
Value of interest in master investment trust accounts at end of year	2022-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2022-12-31	$0
Value of interest in common/collective trusts at end of year	2022-12-31	$11,113,286
Value of interest in common/collective trusts at beginning of year	2022-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2022-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2022-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$124,997
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2022-12-31	$0
Asset value of US Government securities at end of year	2022-12-31	$0
Asset value of US Government securities at beginning of year	2022-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-950,910
Net investment gain/loss from pooled separate accounts	2022-12-31	$-1,871,120
Net investment gain or loss from common/collective trusts	2022-12-31	$0
Net gain/loss from 103.12 investment entities	2022-12-31	$0
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
Assets. Invements in employer securities at end of year	2022-12-31	$0
Assets. Invements in employer securities at beginning of year	2022-12-31	$0
Assets. Value of employer real property at end of year	2022-12-31	$0
Assets. Value of employer real property at beginning of year	2022-12-31	$0
Contributions received in cash from employer	2022-12-31	$306,470
Employer contributions (assets) at end of year	2022-12-31	$0
Employer contributions (assets) at beginning of year	2022-12-31	$306,501
Income. Dividends from preferred stock	2022-12-31	$0
Income. Dividends from common stock	2022-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,433,710
Asset. Corporate debt instrument preferred debt at end of year	2022-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2022-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2022-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2022-12-31	$0
Contract administrator fees	2022-12-31	$78,546
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2022-12-31	Yes
Assets. Corporate common stocks other than exployer securities at end of year	2022-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2022-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2022-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2022-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2022-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2022-12-31	$0
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
Aggregate proceeds on sale of assets	2022-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2022-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2022-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2022-12-31	$0
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	GRAY, GRAY AND GRAY, LLP
Accountancy firm EIN	2022-12-31	042088368
2021 : LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources (including contributions)	2021-12-31	$4,295,752
Total of all expenses incurred	2021-12-31	$1,639,216
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$1,602,569
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$2,957,125
Value of total assets at end of year	2021-12-31	$12,031,138
Value of total assets at beginning of year	2021-12-31	$9,374,602
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$36,647
Total interest from all sources	2021-12-31	$5,939
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	$2,482,901
Participant contributions at end of year	2021-12-31	$113,333
Participant contributions at beginning of year	2021-12-31	$119,365
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$167,723
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	$2,656,536
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$12,031,138
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$9,374,602
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
Value of interest in pooled separate accounts at end of year	2021-12-31	$11,611,304
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$9,255,237
Interest on participant loans	2021-12-31	$5,939
Net investment gain/loss from pooled separate accounts	2021-12-31	$1,332,688
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	Yes
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$306,501
Employer contributions (assets) at end of year	2021-12-31	$306,501
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$1,602,569
Contract administrator fees	2021-12-31	$36,647
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	GRAY, GRAY AND GRAY, LLP
Accountancy firm EIN	2021-12-31	042088368
2020 : LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total transfer of assets to this plan	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$3,314,655
Total of all expenses incurred	2020-12-31	$803,397
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$750,777
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$2,241,288
Value of total assets at end of year	2020-12-31	$9,374,602
Value of total assets at beginning of year	2020-12-31	$6,863,344
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$52,620
Total interest from all sources	2020-12-31	$1,073,367
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$2,098,647
Participant contributions at end of year	2020-12-31	$119,365
Participant contributions at beginning of year	2020-12-31	$155,539
Participant contributions at beginning of year	2020-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$142,641
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$0
Administrative expenses (other) incurred	2020-12-31	$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	2020-12-31	No
Value of net income/loss	2020-12-31	$2,511,258
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$9,374,602
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$6,863,344
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in pooled separate accounts at end of year	2020-12-31	$9,255,237
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$6,417,177
Interest on participant loans	2020-12-31	$8,975
Interest earned on other investments	2020-12-31	$1,064,392
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Employer contributions (assets) at beginning of year	2020-12-31	$290,628
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$750,777
Contract administrator fees	2020-12-31	$52,620
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	GRAY, GRAY AND GRAY, LLP
Accountancy firm EIN	2020-12-31	042088368
2019 : LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$3,760,302
Total income from all sources (including contributions)	2019-12-31	$3,760,302
Total of all expenses incurred	2019-12-31	$1,199,990
Total of all expenses incurred	2019-12-31	$1,199,990
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,061,240
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,061,240
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$2,682,558
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$2,682,558
Value of total assets at end of year	2019-12-31	$6,863,344
Value of total assets at end of year	2019-12-31	$6,863,344
Value of total assets at beginning of year	2019-12-31	$4,303,032
Value of total assets at beginning of year	2019-12-31	$4,303,032
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$138,750
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$138,750
Total interest from all sources	2019-12-31	$6,173
Total interest from all sources	2019-12-31	$6,173
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Administrative expenses professional fees incurred	2019-12-31	$138,750
Administrative expenses professional fees incurred	2019-12-31	$138,750
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$340,000
Value of fidelity bond cover	2019-12-31	$340,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
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
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$1,667,543
Contributions received from participants	2019-12-31	$1,667,543
Participant contributions at end of year	2019-12-31	$155,539
Participant contributions at end of year	2019-12-31	$155,539
Participant contributions at beginning of year	2019-12-31	$25,495
Participant contributions at beginning of year	2019-12-31	$25,495
Participant contributions at end of year	2019-12-31	$0
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$312
Participant contributions at beginning of year	2019-12-31	$312
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$724,387
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$724,387
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$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	2019-12-31	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	2019-12-31	No
Value of net income/loss	2019-12-31	$2,560,312
Value of net income/loss	2019-12-31	$2,560,312
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$6,863,344
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$6,863,344
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$4,303,032
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$4,303,032
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 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
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in pooled separate accounts at end of year	2019-12-31	$6,417,177
Value of interest in pooled separate accounts at end of year	2019-12-31	$6,417,177
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$4,277,225
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$4,277,225
Income. Interest from loans (other than to participants)	2019-12-31	$6,173
Income. Interest from loans (other than to participants)	2019-12-31	$6,173
Net investment gain/loss from pooled separate accounts	2019-12-31	$1,071,571
Net investment gain/loss from pooled separate accounts	2019-12-31	$1,071,571
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
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	Yes
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$290,628
Contributions received in cash from employer	2019-12-31	$290,628
Employer contributions (assets) at end of year	2019-12-31	$290,628
Employer contributions (assets) at end of year	2019-12-31	$290,628
Employer contributions (assets) at beginning of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,061,240
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,061,240
Did the plan have assets held for investment	2019-12-31	Yes
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
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
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
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
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	GRAY, GRAY AND GRAY, LLP
Accountancy firm name	2019-12-31	GRAY, GRAY AND GRAY, LLP
Accountancy firm EIN	2019-12-31	042088368
Accountancy firm EIN	2019-12-31	042088368
2018 : LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$6,350
Total income from all sources (including contributions)	2018-12-31	$1,099,212
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$574,012
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$525,889
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,462,063
Value of total assets at end of year	2018-12-31	$4,303,032
Value of total assets at beginning of year	2018-12-31	$3,784,182
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$48,123
Total interest from all sources	2018-12-31	$1,524
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
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	$340,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$1,375,898
Participant contributions at end of year	2018-12-31	$25,495
Participant contributions at beginning of year	2018-12-31	$34,745
Participant contributions at end of year	2018-12-31	$312
Participant contributions at beginning of year	2018-12-31	$3,923
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$86,165
Other income not declared elsewhere	2018-12-31	$2,886
Liabilities. Value of operating payables at end of year	2018-12-31	$0
Liabilities. Value of operating payables at beginning of year	2018-12-31	$6,350
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	$525,200
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$4,303,032
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$3,777,832
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
Value of interest in pooled separate accounts at end of year	2018-12-31	$4,277,225
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$3,745,514
Interest on participant loans	2018-12-31	$1,524
Net investment gain/loss from pooled separate accounts	2018-12-31	$-367,261
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	Yes
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	$525,889
Contract administrator fees	2018-12-31	$48,123
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	GRAY, GRAY & GRAY, LLP
Accountancy firm EIN	2018-12-31	042088368
2017 : LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$6,350
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$738
Total income from all sources (including contributions)	2017-12-31	$1,872,165
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$340,818
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$300,295
Expenses. Certain deemed distributions of participant loans	2017-12-31	$2,982
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,380,738
Value of total assets at end of year	2017-12-31	$3,784,182
Value of total assets at beginning of year	2017-12-31	$2,247,223
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$37,541
Total interest from all sources	2017-12-31	$1,245
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$340,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$1,212,572
Participant contributions at end of year	2017-12-31	$34,745
Participant contributions at beginning of year	2017-12-31	$18,934
Participant contributions at end of year	2017-12-31	$3,923
Participant contributions at beginning of year	2017-12-31	$2,697
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$168,166
Administrative expenses (other) incurred	2017-12-31	$324
Liabilities. Value of operating payables at end of year	2017-12-31	$6,350
Liabilities. Value of operating payables at beginning of year	2017-12-31	$738
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,531,347
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$3,777,832
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$2,246,485
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$37,217
Value of interest in pooled separate accounts at end of year	2017-12-31	$3,745,514
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$2,225,592
Interest on participant loans	2017-12-31	$1,245
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$490,182
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$300,295
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	GRAY, GRAY & GRAY, LLP
Accountancy firm EIN	2017-12-31	042088368
2016 : LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$738
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$1,238,311
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$82,664
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$65,410
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,114,649
Value of total assets at end of year	2016-12-31	$2,247,223
Value of total assets at beginning of year	2016-12-31	$1,090,838
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$17,254
Total interest from all sources	2016-12-31	$247
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$17,254
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$340,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$1,018,263
Participant contributions at end of year	2016-12-31	$18,934
Participant contributions at beginning of year	2016-12-31	$3,875
Participant contributions at end of year	2016-12-31	$2,697
Participant contributions at beginning of year	2016-12-31	$9,479
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$96,308
Liabilities. Value of operating payables at end of year	2016-12-31	$738
Liabilities. Value of operating payables at beginning of year	2016-12-31	$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	2016-12-31	No
Income. Non cash contributions	2016-12-31	$0
Value of net income/loss	2016-12-31	$1,155,647
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$2,246,485
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,090,838
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in pooled separate accounts at end of year	2016-12-31	$2,225,592
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$1,077,484
Interest on participant loans	2016-12-31	$247
Net investment gain/loss from pooled separate accounts	2016-12-31	$123,415
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$78
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$65,410
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	GRAY, GRAY & GRAY, LLP
Accountancy firm EIN	2016-12-31	042088368
2015 : LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$890,386
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$138,117
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$121,931
Expenses. Certain deemed distributions of participant loans	2015-12-31	$4,344
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$917,376
Value of total assets at end of year	2015-12-31	$1,090,838
Value of total assets at beginning of year	2015-12-31	$338,569
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$11,842
Total interest from all sources	2015-12-31	$132
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$340,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$752,359
Participant contributions at end of year	2015-12-31	$3,875
Participant contributions at beginning of year	2015-12-31	$4,600
Participant contributions at end of year	2015-12-31	$9,479
Participant contributions at beginning of year	2015-12-31	$20,448
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$165,017
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$752,269
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,090,838
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$338,569
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in pooled separate accounts at end of year	2015-12-31	$1,077,484
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$313,521
Interest on participant loans	2015-12-31	$132
Net investment gain/loss from pooled separate accounts	2015-12-31	$-27,122
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$121,931
Contract administrator fees	2015-12-31	$11,842
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	GRAY, GRAY & GRAY, LLP
Accountancy firm EIN	2015-12-31	042088368
2014 : LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$363,510
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$24,941
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$21,519
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$357,582
Value of total assets at end of year	2014-12-31	$338,569
Value of total assets at beginning of year	2014-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$3,422
Total interest from all sources	2014-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$340,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$235,904
Participant contributions at end of year	2014-12-31	$4,600
Participant contributions at beginning of year	2014-12-31	$0
Participant contributions at end of year	2014-12-31	$20,448
Participant contributions at beginning of year	2014-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$121,678
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$338,569
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$338,569
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in pooled separate accounts at end of year	2014-12-31	$313,521
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$0
Net investment gain/loss from pooled separate accounts	2014-12-31	$5,928
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$21,519
Contract administrator fees	2014-12-31	$3,422
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	GRAY, GRAY & GRAY, LLP
Accountancy firm EIN	2014-12-31	042088368

Form 5500 Responses for LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN

2022: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING 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: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING 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 benefit arrangement – Insurance	Yes
2020: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING 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 benefit arrangement – Insurance	Yes
2018: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
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
2017: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: LCB SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	First time form 5500 has been submitted	Yes
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

517375-01

Policy instance

Insurance contract or identification number	517375-01
Number of Individuals Covered	2234
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

342633-000

Policy instance

Insurance contract or identification number	342633-000
Number of Individuals Covered	0
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

342633-000

Policy instance

Insurance contract or identification number	342633-000
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $12,667
Total amount of fees paid to insurance company	USD $0
Commission paid to Insurance Broker	USD $7,980
Insurance broker organization code?	3

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

342633-000

Policy instance

Insurance contract or identification number	342633-000
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $28,946
Total amount of fees paid to insurance company	USD $0
Commission paid to Insurance Broker	USD $18,236
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	0
Insurance broker organization code?	3

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

342633-000

Policy instance

Insurance contract or identification number	342633-000
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $25,678
Total amount of fees paid to insurance company	USD $1,353
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $14,199
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	0
Insurance broker organization code?	3

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

342633-000

Policy instance

Insurance contract or identification number	342633-000
Number of Individuals Covered	2496
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $20,653
Total amount of fees paid to insurance company	USD $2,076
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,327
Insurance broker organization code?	3
Amount paid for insurance broker fees	2076
Additional information about fees paid to insurance broker	TPA FEES

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

342633-000

Policy instance

Insurance contract or identification number	342633-000
Number of Individuals Covered	1885
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $14,666
Total amount of fees paid to insurance company	USD $1,488
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,333
Insurance broker organization code?	3
Amount paid for insurance broker fees	1488
Additional information about fees paid to insurance broker	TPA FEES
Insurance broker name	UNITED RETIREMENT, INC.

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

342633-000

Policy instance

Insurance contract or identification number	342633-000
Number of Individuals Covered	891
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $3,480
Total amount of fees paid to insurance company	USD $305
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,740
Insurance broker organization code?	3
Amount paid for insurance broker fees	305
Additional information about fees paid to insurance broker	TPA FEES
Insurance broker name	UNITED RETIREMENT PLAN CONSULTANTS

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

342633-000

Policy instance

Insurance contract or identification number	342633-000
Number of Individuals Covered	428
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $510
Total amount of fees paid to insurance company	USD $38
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $255
Insurance broker organization code?	3
Amount paid for insurance broker fees	38
Additional information about fees paid to insurance broker	TPA FEES
Insurance broker name	UNITED RETIREMENT PLAN CONSULTANTS

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See full terms and conditions

Company Name:	LCB SENIOR LIVING, LLC
Employer identification number (EIN):	383900044
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:	2013-03-01
Company Identification Number:	5296616
Legal Registered Office Address:	2711 Centerville Rd Suite 400 Wilmington United States of America (USA) 19808