Home   >   Evergreen Center, Inc. Defined Contribution Retirement Plan  >  Form 5500
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Company:
Evergreen Center, Inc.

Plan:
Evergreen Center, Inc. Defined Contribution Retirement Plan
 
Form 5500 | Basic Information
Plan Information
Plan Year 07/01/2011 — 06/30/2012
Effective Date of Plan 07/01/1983
Net Assets as of 06/30/2012 $5,654,733
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 06/30/2012
Active (Eligible) Participants 232
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 172
Subtotal 404
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Total 404
Total number of participants as of 07/01/2011 415
Number of participants with account balances 354
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 6

Plan Sponsor Information
Address 345 Fortune Blvd
Milford, MA 01757
Telephone (508) 478-2631
EIN 04-2753469
Industry Code 611000
Named Administrator Robert F. Littleton, Jr.

Plan Administrator Information
Administrator Name Evergreen Center, Inc.
Address 345 Fortune Blvd
Milford, MA 01757
Telephone (508) 478-2631
Administrator EIN 04-2753469

Audit Information
Audit Status Audited
Auditor Leonard Mulherin & Greene P.C.
Auditor EIN 04-3108635
Audit Opinion Disclaimer
Audit Type Limited Scope Audit

Benefits Provided Under the Plan
Code Benefit Description
2A Age/Service Weighted or New Comparability or Similar Plan Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New Comparability or Similar Plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the threshold or additional rate allowed under the permitted disparity rules of section 401(l)
2E Profit-sharing A defined contribution plan that allows employer discretionary contributions. These plans often contain a 401(k) feature.
2F ERISA section 404(c) Plan This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
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.
2T Participant-directed Account Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

  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 $500,000
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?