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LARKSFIELD PLACE RETIREMENT COMMUNITIES, INC. 403(B) PLAN 401k Plan overview

Plan NameLARKSFIELD PLACE RETIREMENT COMMUNITIES, INC. 403(B) PLAN
Plan identification number 006

LARKSFIELD PLACE RETIREMENT COMMUNITIES, INC. 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

LARKSFIELD PLACE RETIREMENT COMMUNITIES, INC. has sponsored the creation of one or more 401k plans.

Company Name:LARKSFIELD PLACE RETIREMENT COMMUNITIES, INC.
Employer identification number (EIN):480987497
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LARKSFIELD PLACE RETIREMENT COMMUNITIES, INC. 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0062018-01-01TIM NIKKEL2019-07-19 TIM NIKKEL2019-07-19
0062017-01-01TIM NIKKEL2018-07-27 TIM NIKKEL2018-07-27
0062016-01-01TIM NIKKEL2017-07-27
0062015-01-01TIM NIKKEL2016-05-17
0062014-01-01TIM NIKKEL2015-06-03
0062013-01-01TIM NIKKEL2014-04-24 TIM NIKKEL2014-04-24
0062012-01-01TIM NIKKEL TIM NIKKEL2013-07-11
0062011-01-01TIM NIKKEL TIM NIKKEL2012-10-04
0062010-01-01TIM NIKKEL TIM NIKKEL2011-10-12
0062009-01-01TIM NIKKEL TIM NIKKEL2010-10-15

Plan Statistics for LARKSFIELD PLACE RETIREMENT COMMUNITIES, INC. 403(B) PLAN

401k plan membership statisitcs for LARKSFIELD PLACE RETIREMENT COMMUNITIES, INC. 403(B) PLAN

Measure Date Value
2012: LARKSFIELD PLACE RETIREMENT COMMUNITIES, INC. 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0134
Total number of active participants reported on line 7a of the Form 55002012-01-010
Number of retired or separated participants receiving benefits2012-01-0124
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-0124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0124
Number of participants with account balances2012-01-0124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: LARKSFIELD PLACE RETIREMENT COMMUNITIES, INC. 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01101
Total number of active participants reported on line 7a of the Form 55002011-01-010
Number of retired or separated participants receiving benefits2011-01-0134
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-0134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0134
Number of participants with account balances2011-01-0134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: LARKSFIELD PLACE RETIREMENT COMMUNITIES, INC. 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01100
Total number of active participants reported on line 7a of the Form 55002010-01-0162
Number of retired or separated participants receiving benefits2010-01-0139
Total of all active and inactive participants2010-01-01101
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01101
Number of participants with account balances2010-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: LARKSFIELD PLACE RETIREMENT COMMUNITIES, INC. 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01111
Total number of active participants reported on line 7a of the Form 55002009-01-0159
Number of retired or separated participants receiving benefits2009-01-0141
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01100
Number of participants with account balances2009-01-01100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on LARKSFIELD PLACE RETIREMENT COMMUNITIES, INC. 403(B) PLAN

Measure Date Value
2012 : LARKSFIELD PLACE RETIREMENT COMMUNITIES, INC. 403(B) PLAN 2012 401k financial data
Total income from all sources2012-12-31$32,501
Expenses. Total of all expenses incurred2012-12-31$148,753
Benefits paid (including direct rollovers)2012-12-31$143,971
Total plan assets at end of year2012-12-31$244,958
Total plan assets at beginning of year2012-12-31$361,210
Value of fidelity bond covering the plan2012-12-31$250,000
Other income received2012-12-31$32,501
Net income (gross income less expenses)2012-12-31$-116,252
Net plan assets at end of year (total assets less liabilities)2012-12-31$244,958
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$361,210
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$4,782
2011 : LARKSFIELD PLACE RETIREMENT COMMUNITIES, INC. 403(B) PLAN 2011 401k financial data
Total transfer of assets from this plan2011-12-31$843,376
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$26,348
Total of all expenses incurred2011-12-31$308,403
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$291,878
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$99,846
Value of total assets at end of year2011-12-31$361,210
Value of total assets at beginning of year2011-12-31$1,486,641
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$16,525
Total interest from all sources2011-12-31$6,077
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$250,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$72,282
Participant contributions at beginning of year2011-12-31$6,379
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$3,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-282,055
Value of net assets at end of year (total assets less liabilities)2011-12-31$361,210
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,486,641
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in pooled separate accounts at end of year2011-12-31$277,699
Value of interest in pooled separate accounts at beginning of year2011-12-31$1,273,598
Interest on participant loans2011-12-31$615
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$5,462
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$83,511
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$206,664
Net investment gain/loss from pooled separate accounts2011-12-31$-79,575
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$24,064
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$291,878
Contract administrator fees2011-12-31$16,525
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31BKD, LLP
Accountancy firm EIN2011-12-31440160260
2010 : LARKSFIELD PLACE RETIREMENT COMMUNITIES, INC. 403(B) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total transfer of assets from this plan2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$298,733
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$60,774
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$59,329
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$151,482
Value of total assets at end of year2010-12-31$1,486,641
Value of total assets at beginning of year2010-12-31$1,248,682
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,445
Total interest from all sources2010-12-31$6,098
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$3,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$111,156
Participant contributions at end of year2010-12-31$6,379
Participant contributions at beginning of year2010-12-31$15,371
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$237,959
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,486,641
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,248,682
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in pooled separate accounts at end of year2010-12-31$1,273,598
Value of interest in pooled separate accounts at beginning of year2010-12-31$1,045,348
Interest on participant loans2010-12-31$893
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$5,205
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$206,664
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$187,963
Net investment gain/loss from pooled separate accounts2010-12-31$141,153
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$40,326
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$59,329
Contract administrator fees2010-12-31$1,445
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31BKD, LLP
Accountancy firm EIN2010-12-31440160260

Form 5500 Responses for LARKSFIELD PLACE RETIREMENT COMMUNITIES, INC. 403(B) PLAN

2012: LARKSFIELD PLACE RETIREMENT COMMUNITIES, INC. 403(B) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: LARKSFIELD PLACE RETIREMENT COMMUNITIES, INC. 403(B) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: LARKSFIELD PLACE RETIREMENT COMMUNITIES, INC. 403(B) PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: LARKSFIELD PLACE RETIREMENT COMMUNITIES, INC. 403(B) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number728166 001
Policy instance 1
Insurance contract or identification number728166 001
Number of Individuals Covered24
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker name
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number728166-0001
Policy instance 1
Insurance contract or identification number728166-0001
Number of Individuals Covered34
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $2,065
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number728166-0001
Policy instance 1
Insurance contract or identification number728166-0001
Number of Individuals Covered101
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,237
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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