Park Forest Care Center, Inc.

Form 5500

PARK FOREST CARE CENTER, INC.

7045 Stuart St, Westminster, Co 80030 (303) 427-7045 EIN:84-1191628 Plan Admin:Beverly Shamley

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2023	Plan NamePARK FOREST CARE CENTER, INC. 401(K) PLAN Plan #001 Participants BOY/EOY18 / 13 Assets BOY/EOY$20,647 / $26,215	2023	PARK FOREST CARE CENTER, INC. 401(K) PLAN - Plan #001	18 / 13	$20,647 / $26,215
2022	Plan NamePARK FOREST CARE CENTER, INC. 401(K) PLAN Plan #001 Participants BOY/EOY34 / 34 Assets BOY/EOY$22,333 / $20,647	2022	PARK FOREST CARE CENTER, INC. 401(K) PLAN - Plan #001	34 / 34	$22,333 / $20,647
2021	Plan NamePARK FOREST CARE CENTER, INC. 401(K) PLAN Plan #001 Participants BOY/EOY36 / 34 Assets BOY/EOY$26,434 / $22,333	2021	PARK FOREST CARE CENTER, INC. 401(K) PLAN - Plan #001	36 / 34	$26,434 / $22,333
2020	Plan NamePARK FOREST CARE CENTER, INC. Plan #001 Participants BOY/EOY59 / 36 Assets BOY/EOY$10,315 / $26,434	2020	PARK FOREST CARE CENTER, INC. - Plan #001	59 / 36	$10,315 / $26,434
2019	Plan NamePARK FOREST CARE CENTER, INC. 401(K) PLAN Plan #001 Participants BOY/EOY60 / 59 Assets BOY/EOY$0 / $10,315	2019	PARK FOREST CARE CENTER, INC. 401(K) PLAN - Plan #001	60 / 59	$0 / $10,315