Aicota Health Care Center, Inc.

Form 5500

AICOTA HEALTH CARE CENTER, INC.

850 2nd Street Nw, Aitkin, Mn 56431 (218) 927-2164 EIN:41-1362696 Plan Admin:Tyler Hoemberg

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NameAICOTA HEALTH CARE CENTER, INC. 401(K) PLAN Plan #001 Participants BOY/EOY28 / 24 Assets BOY/EOY$431,100 / $328,833	2022	AICOTA HEALTH CARE CENTER, INC. 401(K) PLAN - Plan #001	28 / 24	$431,100 / $328,833
2022	Plan NameAICOTA HEALTH CARE CENTER, INC. UNION 401(K) PLAN Plan #002 Participants BOY/EOY38 / 39 Assets BOY/EOY$292,266 / $132,969	2022	AICOTA HEALTH CARE CENTER, INC. UNION 401(K) PLAN - Plan #002	38 / 39	$292,266 / $132,969
2021	Plan NameAICOTA HEALTH CARE CENTER, INC. 401(K) PLAN Plan #001 Participants BOY/EOY36 / 24 Assets BOY/EOY$801,411 / $431,100	2021	AICOTA HEALTH CARE CENTER, INC. 401(K) PLAN - Plan #001	36 / 24	$801,411 / $431,100
2021	Plan NameAICOTA HEALTH CARE CENTER, INC. UNION 401(K) PLAN Plan #002 Participants BOY/EOY65 / 35 Assets BOY/EOY$269,759 / $292,266	2021	AICOTA HEALTH CARE CENTER, INC. UNION 401(K) PLAN - Plan #002	65 / 35	$269,759 / $292,266
2020	Plan NameAICOTA HEALTH CARE CENTER, INC. 401(K) PLAN Plan #001 Participants BOY/EOY38 / 36 Assets BOY/EOY$653,144 / $801,411	2020	AICOTA HEALTH CARE CENTER, INC. 401(K) PLAN - Plan #001	38 / 36	$653,144 / $801,411
2020	Plan NameAICOTA HEALTH CARE CENTER, INC. UNION 401(K) PLAN Plan #002 Participants BOY/EOY72 / 65 Assets BOY/EOY$227,162 / $269,759	2020	AICOTA HEALTH CARE CENTER, INC. UNION 401(K) PLAN - Plan #002	72 / 65	$227,162 / $269,759
2019	Plan NameAICOTA HEALTH CARE CENTER, INC. 401(K) PLAN Plan #001 Participants BOY/EOY36 / 36 Assets BOY/EOY$493,920 / $653,144	2019	AICOTA HEALTH CARE CENTER, INC. 401(K) PLAN - Plan #001	36 / 36	$493,920 / $653,144
2019	Plan NameAICOTA HEALTH CARE CENTER, INC. UNION 401(K) PLAN Plan #002 Participants BOY/EOY69 / 71 Assets BOY/EOY$171,025 / $227,162	2019	AICOTA HEALTH CARE CENTER, INC. UNION 401(K) PLAN - Plan #002	69 / 71	$171,025 / $227,162