Original filing (PDF)20250610185623NAL0043656162001

BROOKSIDE SKILLED NURSING HOSPTIAL

Name: BROOKSIDE SKILLED NURSING HOSPTIAL — BROOKSIDE SKILLED NURSING HOSPITAL 403(B) TAX DEFERRED ANNUITY PLAN, Form 5500 (2024)
Creator: BROOKSIDE SKILLED NURSING HOSPTIAL

Form 5500-SF

FILING_RECEIVED

BROOKSIDE SKILLED NURSING HOSPITAL 403(B) TAX DEFERRED ANNUITY PLAN

403(b) retirement plan

Signals · 1

No auditor on file

Active participants

129

Accounts w/ balance

Plan assets (EOY)

$302K

Net assets (EOY)

$302K

Plan health score (directional)

/ 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

Concentration risk

Total plan cost

Vendor stack

100

Participation health

Decision-maker contacts

CFO / Head of HR / Benefits Manager — verified email + LinkedIn for BROOKSIDE SKILLED NURSING HOSPTIAL.

Plan sponsor

Name

BROOKSIDE SKILLED NURSING HOSPTIAL

EIN

94-2506931

Address

3170 CROW CANYON PLACE SUITE 108 · C/O SERENITY 4 MANAGEMENT SERVICES · SAN RAMON, CA · 94583

Phone

(925) 284-5544

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

2025-06-10

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)

Audit & trust (Schedule H)

Auditor

—

Trustee / custodian

Service providers (Schedule C)

Small plans don't disclose service providers

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