401k Plan data: SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN plan

SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 401k Plan overview

Plan Name	SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN
Plan identification number	002

SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN Benefits

401k Plan Type

Defined 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.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
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

SEARS METHODIST RETIREMENT SYSTEM, INC. has sponsored the creation of one or more 401k plans.

Company Name: SEARS METHODIST RETIREMENT SYSTEM, INC.

Employer identification number (EIN): 752516330

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

Additional information about SEARS METHODIST RETIREMENT SYSTEM, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1993-12-21

Company Identification Number: 0129533701

Legal Registered Office Address: 2100 ROSS AVE FL 21ST

DALLAS
United States of America (USA)
75201

More information about SEARS METHODIST RETIREMENT SYSTEM, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-01-01 PAUL RUNDELL
002 2014-01-01 PAUL RUNDELL
002 2014-01-01 PAUL RUNDELL
002 2013-01-01 RANDAL CROSSWHITE
002 2012-01-01 RANDAL CROSSWHITE
002 2011-01-01 RANDAL CROSSWHITE
002 2010-01-01 RANDAL CROSSWHITE RANDAL CROSSWHITE 2011-10-14
002 2009-01-01 TERRY MYERS

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2015-01-01	PAUL RUNDELL
002	2014-01-01	PAUL RUNDELL
002	2014-01-01	PAUL RUNDELL
002	2013-01-01	RANDAL CROSSWHITE
002	2012-01-01	RANDAL CROSSWHITE
002	2011-01-01	RANDAL CROSSWHITE
002	2010-01-01	RANDAL CROSSWHITE	RANDAL CROSSWHITE	2011-10-14
002	2009-01-01	TERRY MYERS

Plan Statistics for SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN

401k plan membership statisitcs for SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN

Measure Date Value
2015: SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 989
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
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 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,018
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 944
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 45
Total of all active and inactive participants 2014-01-01 989
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 989
Number of participants with account balances 2014-01-01 143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 940
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,004
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 14
Total of all active and inactive participants 2013-01-01 1,018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 1,018
Number of participants with account balances 2013-01-01 139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 949
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 921
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 19
Total of all active and inactive participants 2012-01-01 940
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 940
Number of participants with account balances 2012-01-01 114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,129
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 901
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 48
Total of all active and inactive participants 2011-01-01 949
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 949
Number of participants with account balances 2011-01-01 155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,176
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,143
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 22
Total of all active and inactive participants 2010-01-01 1,165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 1,165
Number of participants with account balances 2010-01-01 156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,370
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,151
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 37
Total of all active and inactive participants 2009-01-01 1,188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1,188
Number of participants with account balances 2009-01-01 205
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2015: SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	989
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
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	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,018
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	944
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	45
Total of all active and inactive participants	2014-01-01	989
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	989
Number of participants with account balances	2014-01-01	143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	940
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,004
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	14
Total of all active and inactive participants	2013-01-01	1,018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	1,018
Number of participants with account balances	2013-01-01	139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	949
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	921
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	19
Total of all active and inactive participants	2012-01-01	940
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	940
Number of participants with account balances	2012-01-01	114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,129
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	901
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	48
Total of all active and inactive participants	2011-01-01	949
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	949
Number of participants with account balances	2011-01-01	155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,176
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,143
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	22
Total of all active and inactive participants	2010-01-01	1,165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	1,165
Number of participants with account balances	2010-01-01	156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,370
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,151
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	37
Total of all active and inactive participants	2009-01-01	1,188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1,188
Number of participants with account balances	2009-01-01	205
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN

Measure	Date	Value
2015 : SEARS METHODIST RETIREMENT SYS., INC. 403(B) 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	$83,838
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,297,882
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,268,676
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$53,750
Value of total assets at end of year	2015-12-31	$0
Value of total assets at beginning of year	2015-12-31	$1,214,044
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$29,206
Total interest from all sources	2015-12-31	$1,246
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$6,532
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$6,532
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$250,000
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	$53,750
Participant contributions at end of year	2015-12-31	$0
Participant contributions at beginning of year	2015-12-31	$59,893
Participant contributions at end of year	2015-12-31	$0
Participant contributions at beginning of year	2015-12-31	$13,334
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	$-1,214,044
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$1,214,044
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 registered invesment companies (eg mutual funds) at end of year	2015-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$1,074,550
Interest on participant loans	2015-12-31	$454
Interest earned on other investments	2015-12-31	$792
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$66,267
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$22,310
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	$1,268,676
Contract administrator fees	2015-12-31	$29,206
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	CLIFTON LARSEN ALLEN, LLP
Accountancy firm EIN	2015-12-31	410746749
2014 : SEARS METHODIST RETIREMENT SYS., INC. 403(B) 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	$8,477
Total income from all sources (including contributions)	2014-12-31	$450,108
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$169,313
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$144,028
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$376,453
Value of total assets at end of year	2014-12-31	$1,214,044
Value of total assets at beginning of year	2014-12-31	$941,726
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$25,285
Total interest from all sources	2014-12-31	$2,621
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	$250,000
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	$335,533
Participant contributions at end of year	2014-12-31	$59,893
Participant contributions at beginning of year	2014-12-31	$18,013
Participant contributions at end of year	2014-12-31	$13,334
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$40,920
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$8,477
Total non interest bearing cash at beginning of year	2014-12-31	$302
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	$280,795
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$1,214,044
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$933,249
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 registered invesment companies (eg mutual funds) at end of year	2014-12-31	$1,074,550
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$874,279
Interest on participant loans	2014-12-31	$1,273
Interest earned on other investments	2014-12-31	$1,348
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$66,267
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$49,132
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$71,034
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	$144,028
Contract administrator fees	2014-12-31	$25,285
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	CLIFTON LARSEN ALLEN, LLP
Accountancy firm EIN	2014-12-31	410746749
2013 : SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets from this plan	2013-12-31	$29,414
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$8,477
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$499,355
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$500,626
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$474,730
Expenses. Certain deemed distributions of participant loans	2013-12-31	$2,664
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$332,396
Value of total assets at end of year	2013-12-31	$941,726
Value of total assets at beginning of year	2013-12-31	$963,934
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$23,232
Total interest from all sources	2013-12-31	$322
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$24,812
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$24,812
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$250,000
If this is an individual account plan, was there a blackout period	2013-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$307,741
Participant contributions at end of year	2013-12-31	$18,013
Participant contributions at beginning of year	2013-12-31	$8,155
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$24,655
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$8,477
Other income not declared elsewhere	2013-12-31	$2,271
Total non interest bearing cash at end of year	2013-12-31	$302
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$-1,271
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$933,249
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$963,934
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$874,279
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$861,203
Interest on participant loans	2013-12-31	$322
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$49,132
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$94,576
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$139,554
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$474,730
Contract administrator fees	2013-12-31	$23,232
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	2013-12-31	Yes
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	CLIFTONLARSONALLEN, LLP
Accountancy firm EIN	2013-12-31	410746749
2012 : SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$337,940
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$858,101
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$858,023
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$207,711
Value of total assets at end of year	2012-12-31	$963,934
Value of total assets at beginning of year	2012-12-31	$1,484,095
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$78
Total interest from all sources	2012-12-31	$830
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$250,000
If this is an individual account plan, was there a blackout period	2012-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$191,876
Participant contributions at beginning of year	2012-12-31	$8,826
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$15,835
Assets. Loans (other than to participants) at end of year	2012-12-31	$8,155
Assets. Loans (other than to participants) at beginning of year	2012-12-31	$28,569
Other income not declared elsewhere	2012-12-31	$6,758
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$-520,161
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$963,934
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,484,095
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$861,203
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,446,700
Interest on participant loans	2012-12-31	$656
Interest earned on other investments	2012-12-31	$174
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$94,576
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$122,641
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$858,023
Contract administrator fees	2012-12-31	$78
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	2012-12-31	Yes
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2012-12-31	410746749
2011 : SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
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	$247,161
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$340,226
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$332,931
Expenses. Certain deemed distributions of participant loans	2011-12-31	$7,295
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$317,239
Value of total assets at end of year	2011-12-31	$1,484,095
Value of total assets at beginning of year	2011-12-31	$1,577,160
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$0
Total interest from all sources	2011-12-31	$1,584
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$250,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$289,135
Participant contributions at end of year	2011-12-31	$28,569
Participant contributions at beginning of year	2011-12-31	$21,244
Participant contributions at end of year	2011-12-31	$8,826
Participant contributions at beginning of year	2011-12-31	$28,942
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$28,104
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-93,065
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,484,095
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,577,160
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$1,446,700
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,526,974
Interest on participant loans	2011-12-31	$1,584
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-71,662
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$332,931
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	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2011-12-31	410746749
2010 : SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$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	$553,701
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$220,256
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$219,391
Expenses. Certain deemed distributions of participant loans	2010-12-31	$865
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$396,385
Value of total assets at end of year	2010-12-31	$1,577,160
Value of total assets at beginning of year	2010-12-31	$1,243,715
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$0
Total interest from all sources	2010-12-31	$1,054
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 year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$250,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$331,689
Participant contributions at end of year	2010-12-31	$21,244
Participant contributions at beginning of year	2010-12-31	$16,989
Participant contributions at end of year	2010-12-31	$28,942
Participant contributions at beginning of year	2010-12-31	$11,034
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$64,696
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$333,445
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,577,160
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,243,715
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$1,526,974
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$1,215,692
Income. Interest from loans (other than to participants)	2010-12-31	$1,054
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$156,262
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$219,391
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	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	LARSON ALLEN LLP
Accountancy firm EIN	2010-12-31	410746749

Form 5500 Responses for SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN

2015: SEARS METHODIST RETIREMENT SYS., INC. 403(B) 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	Yes
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: SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
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
2013: SEARS METHODIST RETIREMENT SYS., INC. 403(B) 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 funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SEARS METHODIST RETIREMENT SYS., INC. 403(B) 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 funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Mulitple employer plan
2011-01-01	Submission has been amended	Yes
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 – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Mulitple 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 – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: SEARS METHODIST RETIREMENT SYS., INC. 403(B) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Mulitple 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 – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

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

Policy contract number

808288

Policy instance

Insurance contract or identification number	808288
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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	1
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

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

Policy contract number

808113

Policy instance

Insurance contract or identification number	808113
Number of Individuals Covered	989
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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	1
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

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

Policy contract number

808113

Policy instance

Insurance contract or identification number	808113
Number of Individuals Covered	1018
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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	1
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

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

Policy contract number

808113

Policy instance

Insurance contract or identification number	808113
Number of Individuals Covered	940
Insurance policy start date	2012-12-05
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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	1
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

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Company Name:	SEARS METHODIST RETIREMENT SYSTEM, INC.
Employer identification number (EIN):	752516330
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1993-12-21
Company Identification Number:	0129533701
Legal Registered Office Address:	2100 ROSS AVE FL 21ST DALLAS United States of America (USA) 75201