Home   >   Fraiser Meadows Manor, Inc. 401k Retirement Plan  >  Form 5500
   Basic Info | Financials | Service Providers | Investments | Insurance Information

Company:
Fraiser Meadows Manor, Inc.

Plan:
Fraiser Meadows Manor, Inc. 401k Retirement Plan
Print Complete 5500 Print Complete 5500
 

Plan Information
Plan Year 01/01/2010 — 12/31/2010
Effective Date of Plan 07/01/1998
Net Assets as of 12/31/2010 $2,532,557
Plan Number 1
Plan Type Single Employer
Is the plan collectively bargained? No
Did the plan file for an extension of time or the DFVC Program? Yes
Plan Funding Arrangement Insurance
Trust
Plan Benefit Arrangement Insurance
Trust

Participant Information as of 12/31/2010
Active (Eligible) Participants 244
Retired or separated participants receiving benefits 3
Other retired or separated participants entitled to future benefits 32
Subtotal 279
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Total 279
Total number of participants as of 01/01/2010 229
Number of participants with account balances 151
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 3

Plan Sponsor Information
Address 350 Ponca Place
Boulder, CO 80303
Telephone (303) 499-4888
EIN 84-0503809
Industry Code 623000
Named Administrator Patrick Mcateer

Plan Administrator Information
Administrator Name Frasier Meadows Manor, Inc.
Address 350 Ponca Place
Boulder, CO 80303
Telephone (303) 499-4888
Administrator EIN 84-0503809

Audit Information
Audit Status Audited
Auditor Ehrhardt Keefe Steiner & Hottman Pc
Auditor EIN 84-0869721
Audit Opinion Disclaimer
Audit Type Limited Scope Audit

Benefits Provided Under the Plan
Code Benefit Description
2G 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.
2J 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.
2K 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 contributions 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.
3D 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.

  Question Answer Amount
1. During the plan year did the employer fail to transmit to the plan any participant contributions within the time period described in 29 CFT 2510.3-102? No  
2. Were any loans by the plan or fixed income obligations due the plan in default as of the close of plan year or classified during the year as uncollectible? Disregard participant loans secured by participant's account balance. No  
3. Were any leases to which the plan was a party in default or classified during the year as uncollectible? No  
4. Were there any nonexempt transactions with any party-in-interest? No  
5. Was this plan covered by a fidelity bond? Yes $1,000,000
6. Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No  
7. Did the plan hold any assets whose current value was neither readily determinable on an established market nor set by an independent third party appraiser? No  
8. Did the plan receive any noncash contributions whose value was neither readily determinable on an established market nor set by an independent third party appraiser? No  
9. Did the plan have assets held for investment? Yes  
10. Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets? No  
11. Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No  
12. Has the plan failed to provide any benefit when due under the plan? No  
13. If this is an individual account plan, was there a blackout period? No  
14. If there was a blackout period, have you either provided the required notice or one of the exceptions to providing the notice applied under 29 CFR 2520.101-3?