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COUNTRYSIDE LIVING OF CANBY, LLC — COUNTRYSIDE LIVING 401(K) PLAN, Form 5500 (2022) | Form 5500 Search
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Original filing (PDF)
20230213115312NAL0024642275001
COUNTRYSIDE LIVING OF CANBY, LLC
Form 5500-SF
FILING_RECEIVED
COUNTRYSIDE LIVING 401(K) PLAN
401(k) retirement plan
Active participants
31
Accounts w/ balance
10
Plan assets (EOY)
$82K
Net assets (EOY)
$82K
Plan health score (directional)
84
/ 100
Grade B
Above-average plan
Directional indicator computed from public Form 5500 data — compliance, concentration, cost, vendor stack and participation. Not a fiduciary tool.
Compliance & disclosures
100
Concentration risk
75
Total plan cost
75
Vendor stack
100
Participation health
Decision-maker contacts
CFO / Head of HR / Benefits Manager — verified email + LinkedIn for
COUNTRYSIDE LIVING OF CANBY, LLC
.
Find decision makers
Plan sponsor
Name
COUNTRYSIDE LIVING OF CANBY, LLC
EIN
93-1312337
Address
1350 NW CANAL BLVD · REDMOND, OR · 97756
Phone
(503) 312-7270
Industry
Health Care & Social Assistance
see all
Plan administrator
Same as plan sponsor.
Plan characteristics
Plan number
001
Plan year
2022
Plan year begin
2022-01-01
Tax period
2022-12-31
Filed
2023-02-13
Pension benefit codes
2E · Profit-sharing
2F · ERISA section 404(c)
2G · Total participant-directed accounts
2J · 401(k) feature
2K · 401(m) arrangement
2T · Default investment account (QDIA)
3D · Pre-approved plan (master / prototype / VS)
Audit & trust (Schedule H)
Service providers (Schedule C)
Small plans don't disclose service providers
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65
Knocking points off
Only 32% as many balances as active participants — suggests many active employees aren't deferring.
Helping the score
Concentration not scored — Schedule of Assets PDF not yet parsed for this plan.
No Schedule C compensation disclosed — likely a small plan or unbundled.
Auditor
—
Trustee / custodian
—
Trustee phone
—
Small plan (5500-SF) — Schedule H data not available.
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