Original filing (PDF)20251001133748NAL0012692337001

Rest Haven Illiana Christian Convalescent Home

Name: Rest Haven Illiana Christian Convalescent Home — Form 5500 Plan 001 (2024)
Creator: Rest Haven Illiana Christian Convalescent Home
License: https://www.usa.gov/government-works

Form 5500

FILING_RECEIVED

Rest Haven Christian Services Care Plan

403(b) retirement plan · Rest Haven Illiana Christian Convalescent Home's Rest Haven Christian Services Care Plan held $23.4M in plan assets for 756 participants in 2024, with Empower as recordkeeper.

Active participants

756

Accounts w/ balance

501

Plan assets (EOY)

$23.4M

Net assets (EOY)

$23.4M

People on this filing

Barry Vandergenugten signed Rest Haven Illiana Christian Convalescent Home's 2024 Form 5500 as plan administrator.

Barry Vandergenugten — Plan Administrator — Form 5500 signer

Get verified email & phone for these signers

Signer names are public record from the Form 5500 e-signature.

Plan identifiers

Rest Haven Illiana Christian Convalescent Home's EIN is 36-2382853.

EIN 36-2382853

Plan number 001

Plan year 2024

ACK ID 20251001133748NAL0012692337001

Official Form 5500 document

Download the official 2024 Form 5500 (PDF) for Rest Haven Illiana Christian Convalescent Home from the U.S. Department of Labor's EFAST2 system.

Download the official 2024 Form 5500 (PDF)

Plan features

Rest Haven Illiana Christian Convalescent Home's plan includes ERISA 404(c) participant direction, a 403(b) annuity, 403(b) custodial accounts, a default investment (QDIA).

Decision-maker contacts

One unlock reveals every key decision-maker — plan signer, CFO, HR & Benefits — with verified email + LinkedIn for REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME.

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How this plan invests

This plan

29 securities

funds · stocks · CUSIPs

Holdings are itemized directly on this plan's Schedule of Assets, below.

Plan health score

Average plan with room to improve

Directional indicator from public Form 5500 data — compliance & integrity, total plan cost, participant health and vendor stack, benchmarked against same-size peers. Not a fiduciary tool.

Compliance & integrity

100

Total plan cost

Plan health

Vendor & structure

100

Knocking points off

Low account-holder ratio — balance-holders per active participant in the bottom quartile of peers (10th percentile).

Plan sponsor

Name

REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME

EIN

all filings

Address

18670 GRAPHICS DRIVE, SUITE 106 · TINLEY PARK, IL · 60477

Phone

(708) 342-8141

Industry

Health Care & Social Assistance

Plan administrator

Same as plan sponsor.

Plan characteristics

Plan number

001

Plan year

2024

Plan year begin

2024-01-01

Tax period

2024-12-31

Filed

2025-10-01

Pension benefit codes

2F · ERISA section 404(c)

2G · Total participant-directed accounts

2L · 403(b)(1) annuity

2M · 403(b)(7) custodial accounts

2T · Default investment account (QDIA)

3D · Pre-approved plan (master / prototype / VS)

3H · Sponsor in controlled / affiliated group

Audit & trust (Schedule H)

Service providers (Schedule C)

1 rows

Recordkeeper

Name	EIN	Location	Relation	Direct comp	Indirect comp
EMPOWER ANNUITY INSURANCE COMPANY	—	GREENWOOD VILLAGE, CO	RECORDKEEPER	$89K	—

Investments

29 direct securities· $23.4M(100% of reported assets)

Other securities

$8.9M

16 holdings

Mutual Funds

$8.3M

11 holdings

Common Collective Trusts

$4.9M

1 holding

Common Stocks

$1.3M

1 holding

					% of plan
Empower Trust Company, LLC Fidelity 500 Index	Common Collective Trusts	—	—	$4.9M	21.0%
Loomis Sayles Core Plus Bond Y	Other securities	—	—	$3.0M	13.0%
Vanguard Developed Markets Index Admiral	Mutual Funds	—	—	$2.6M	11.3%
MFS Value R6	Mutual Funds	—	—	$2.5M	10.6%
T. Rowe Price Large Cap Growth	Other securities	—	—	$1.8M	7.6%
Empower Annuity Insurance Company of America Fully benefit-responsive investment contract - Select Guaranteed Fund	Common Stocks	—	—	$1.3M	5.4%
DFA Inflation-Protected Sec Inst.	Mutual Funds	—	—	$823K	3.5%
BlackRock High Yield Bond Port K	Other securities	—	—	$759K	3.2%
JPMorgan Emerging Markets Equity R6	Other securities	—	—	$708K	3.0%
American Century Mid Cap Value R6	Other securities	—	—	$700K	3.0%
BlackRock MID-CAP Growth Equity K	Other securities	—	—	$646K	2.8%
FID Mid Cap Index	Mutual Funds	—	—	$542K	2.3%
Allspring Special Small Cap Value R6	Other securities	—	—	$391K	1.7%
Participants Participant notes receivable, bearing interest rates from 4.25 percent to 9.50 percent -	Other securities	—	—	$385K	1.6%
Vanguard Explorer Adm	Mutual Funds	—	—	$358K	1.5%
American Funds New Perspective R6	Mutual Funds	—	—	$346K	1.5%
FID Small Cap Index	Mutual Funds	—	—	$345K	1.5%
Vanguard Real Estate Index Admiral	Mutual Funds	—	—	$333K	1.4%
PIMCO Income Instl	Mutual Funds	—	—	$331K	1.4%
Allspring Core Bond R6	Other securities	—	—	$232K	1.0%
PGIM Global Total Return R6	Other securities	—	—	$149K	0.6%
Franklin Utilities R6	Mutual Funds	—	—	$73K	0.3%
BlackRock Lifepath Index 2045 K	Other securities	—	—	$49K	0.2%
BlackRock Lifepath Index 2060 K	Other securities	—	—	$31K	0.1%
MFS International Growth R6	Mutual Funds	—	—	$31K	0.1%
BlackRock Lifepath Index 2030 K	Other securities	—	—	$17K	<0.1%
BlackRock Lifepath Index 2035 K	Other securities	—	—	$17K	<0.1%
BlackRock Lifepath Index Retirement K	Other securities	—	—	$1K	<0.1%
BlackRock Lifepath Index 2055 K	Other securities	—	—	$1K	<0.1%