2023 Form 5500 filing — Forest Manor/Montclaire Care Centers 401(K) Employee Savings Plan
Plain-English filing summary
According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20241210132926NAL0010250913001) for Forest Manor/Montclaire Care Centers 401(K) Employee Savings Plan, reported by Forest Manor Care Center Inc. Dba Glen Cove Center For Nursing And Reh under EIN 11-3427389 and plan number 001. It reports 430 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
Form 5500 2 · 2023
Filing snapshot
Net assets (EOY)$11.2MReported net assets$11,225,024
Participants430
Provider compensation$30.3K2 Schedule C row(s)$30,298
Schedules filedSchedule H, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20241210132926NAL0010250913001
- Plan sponsor
- Forest Manor Care Center Inc. Dba Glen Cove Center For Nursing And Reh
- EIN
- 11-3427389
- Plan number
- 001
- Location
- Glen Cove, NY
- Received date
- not reported in the loaded dataset
Schedule H · 2023
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
Reported balance (end of year)$11.2M total assets
Net assets$11.2MLiabilities$0
Full reported line items
- Total assets (EOY)
- $11,225,024
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $11,225,024
- Employer contributions
- $298,258
- Participant contributions
- $516,264
- Total income / additions
- $2,499,947
- Benefits paid
- $1,605,129
- Administrative expenses
- $30,298
- Total expenses
- $1,661,355
- Net increase / (decrease)
- $838,592
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Fidelity Investments Institutional | RECORDKEEPER | $20,298 | $0 |
| Stone Hill Fiduciary Management Ll | ADVISOR | $10,000 | not reported in the loaded dataset |