Middlebury Convalescent Home, Inc.

Form 5500

MIDDLEBURY CONVALESCENT HOME, INC

778 Middlebury Road, Middlebury, Ct 06762 (203) 758-2471 EIN:06-0769641 Plan Admin:Jeanine Hammitt

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2023	Plan NameMIDDLEBURY CONVALESCENT HOME, INC 401(K) PROFIT SHARING PLAN Plan #001 Participants BOY/EOY54 / 21 Assets BOY/EOY$455,612 / $484,715	2023	MIDDLEBURY CONVALESCENT HOME, INC 401(K) PROFIT SHARING PLAN - Plan #001	54 / 21	$455,612 / $484,715
2022	Plan NameMIDDLEBURY CONVALESCENT HOME, INC 401(K) PROFIT SHARING PLAN Plan #001 Participants BOY/EOY65 / 54 Assets BOY/EOY$452,083 / $455,612	2022	MIDDLEBURY CONVALESCENT HOME, INC 401(K) PROFIT SHARING PLAN - Plan #001	65 / 54	$452,083 / $455,612
2021	Plan NameMIDDLEBURY CONVALESCENT HOME, INC 401(K) PROFIT SHARING PLAN Plan #001 Participants BOY/EOY75 / 65 Assets BOY/EOY$363,374 / $452,083	2021	MIDDLEBURY CONVALESCENT HOME, INC 401(K) PROFIT SHARING PLAN - Plan #001	75 / 65	$363,374 / $452,083
2020	Plan NameMIDDLEBURY CONVALESCENT HOME, INC 401(K) PROFIT SHARING PLAN Plan #001 Participants BOY/EOY74 / 75 Assets BOY/EOY$310,636 / $363,374	2020	MIDDLEBURY CONVALESCENT HOME, INC 401(K) PROFIT SHARING PLAN - Plan #001	74 / 75	$310,636 / $363,374
2019	Plan NameMIDDLEBURY CONVALESCENT HOME, INC 401(K) PROFIT SHARING PLAN Plan #001 Participants BOY/EOY75 / 74 Assets BOY/EOY$231,524 / $310,636	2019	MIDDLEBURY CONVALESCENT HOME, INC 401(K) PROFIT SHARING PLAN - Plan #001	75 / 74	$231,524 / $310,636