Original filing (PDF)20250206120817NAL0022184882001

AUTUMN VILLAGE, INC.

Name: AUTUMN VILLAGE, INC. — HER HEART ASSISTED LIVING 401(K) PLAN, Form 5500 (2024)
Creator: AUTUMN VILLAGE, INC.

Form 5500-SF

FILING_RECEIVED

HER HEART ASSISTED LIVING 401(K) PLAN

401(k) retirement plan

Active participants

Accounts w/ balance

Plan assets (EOY)

$340K

Net assets (EOY)

$340K

Plan health score (directional)

/ 100

Grade A

Top-tier plan health

Directional indicator computed from public Form 5500 data — compliance, concentration, cost, vendor stack and participation. Not a fiduciary tool.

Compliance & disclosures

100

Concentration risk

Total plan cost

Vendor stack

100

Participation health

Decision-maker contacts

CFO / Head of HR / Benefits Manager — verified email + LinkedIn for AUTUMN VILLAGE, INC..

Plan sponsor

Name

AUTUMN VILLAGE, INC.

EIN

59-3380417

Address

1103 BARRS STREET · JACKSONVILLE, FL · 32204

Phone

(904) 743-3315

Industry

Health Care & Social Assistancesee all

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

2025-02-06

Pension benefit codes

2E · Profit-sharing

2F · ERISA section 404(c)

2G · Total participant-directed accounts

2J · 401(k) feature

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)

Small plans don't disclose service providers

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