401k Plan data: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN plan

GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN 401k Plan overview

Plan Name	GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN
Plan identification number	501

GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance

401k Sponsoring company profile

GIVENS ESTATES, INC. has sponsored the creation of one or more 401k plans.

Company Name: GIVENS ESTATES, INC.

Employer identification number (EIN): 510199312

NAIC Classification: 621410
NAIC Description: Family Planning Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-01-01 ALLEN SQUIRES ALLEN SQUIRES 2016-07-22
501 2014-01-01 ALLEN SQUIRES ALLEN SQUIRES 2015-07-28
501 2013-01-01 ALLEN SQUIRES ALLEN SQUIRES 2014-07-08
501 2012-01-01 ALLEN SQUIRES ALLEN SQUIRES 2013-10-04
501 2011-01-01 ALLEN SQUIRES
501 2010-01-01 ALLEN SQUIRES
501 2009-01-01 ALLEN SQUIRES

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2015-01-01	ALLEN SQUIRES	ALLEN SQUIRES	2016-07-22
501	2014-01-01	ALLEN SQUIRES	ALLEN SQUIRES	2015-07-28
501	2013-01-01	ALLEN SQUIRES	ALLEN SQUIRES	2014-07-08
501	2012-01-01	ALLEN SQUIRES	ALLEN SQUIRES	2013-10-04
501	2011-01-01	ALLEN SQUIRES
501	2010-01-01	ALLEN SQUIRES
501	2009-01-01	ALLEN SQUIRES

Plan Statistics for GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN

401k plan membership statisitcs for GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN

Measure Date Value
2015: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 237
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 211
Number of retired or separated participants receiving benefits 2015-01-01 1
Total of all active and inactive participants 2015-01-01 212
Total participants 2015-01-01 212
2014: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 207
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 219
Number of retired or separated participants receiving benefits 2014-01-01 1
Total of all active and inactive participants 2014-01-01 220
Total participants 2014-01-01 220
2013: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 213
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 214
Total of all active and inactive participants 2013-01-01 214
Total participants 2013-01-01 214
2012: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 199
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 213
Number of retired or separated participants receiving benefits 2012-01-01 3
Total of all active and inactive participants 2012-01-01 216
Total participants 2012-01-01 216
2011: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 197
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 186
Number of retired or separated participants receiving benefits 2011-01-01 2
Total of all active and inactive participants 2011-01-01 188
Total participants 2011-01-01 188
2010: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 218
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 195
Number of retired or separated participants receiving benefits 2010-01-01 2
Total of all active and inactive participants 2010-01-01 197
Total participants 2010-01-01 197
2009: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 213
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 218
Number of retired or separated participants receiving benefits 2009-01-01 2
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 220
Total participants 2009-01-01 220

Measure	Date	Value
2015: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	237
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	211
Number of retired or separated participants receiving benefits	2015-01-01	1
Total of all active and inactive participants	2015-01-01	212
Total participants	2015-01-01	212
2014: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	207
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	219
Number of retired or separated participants receiving benefits	2014-01-01	1
Total of all active and inactive participants	2014-01-01	220
Total participants	2014-01-01	220
2013: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	213
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	214
Total of all active and inactive participants	2013-01-01	214
Total participants	2013-01-01	214
2012: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	199
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	213
Number of retired or separated participants receiving benefits	2012-01-01	3
Total of all active and inactive participants	2012-01-01	216
Total participants	2012-01-01	216
2011: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	197
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	186
Number of retired or separated participants receiving benefits	2011-01-01	2
Total of all active and inactive participants	2011-01-01	188
Total participants	2011-01-01	188
2010: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	218
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	195
Number of retired or separated participants receiving benefits	2010-01-01	2
Total of all active and inactive participants	2010-01-01	197
Total participants	2010-01-01	197
2009: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	213
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	218
Number of retired or separated participants receiving benefits	2009-01-01	2
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	220
Total participants	2009-01-01	220

Form 5500 Responses for GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN

2015: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH 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 benefit arrangement – Insurance	Yes
2014: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
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 benefit arrangement – Insurance	Yes
2013: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: GIVENS ESTATES UNITED METHODIST RETIREMENT COMMUNITY GROUP HEALTH PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	GIVENS ESTATES, INC.
Employer identification number (EIN):	510199312
NAIC Classification:	621410
NAIC Description:	Family Planning Centers