HIBBARD NURSING HOME RETIREMENT AND SAVINGS PLAN

[ EIN: 01-0272415 | Plan No. 001 ]

Form 5500 filing classifies HIBBARD NURSING HOME RETIREMENT AND SAVINGS PLAN as a 401(k) plan, sponsored by HIBBARD NURSING HOME. The plan is a Large Plan with 0 participants and total assets of $0 reported for the 2013 plan year.

---

Plan Sponsor: HIBBARD NURSING HOME

Location: PO BOX 159, DOVER FOXCROFT, ME 04426

EIN: 010272415

Plan Number: 001

Plan Year: 2013

Plan Size: Large Plan

Plan Entity Type: Defined Contribution

Plan Type: 401(k)

Participants: 0

Total Assets: $0

---