CLEMMONS ASSISTED LIVING LLC 401(K) PROFIT SHARING PLAN & TRUST

[ EIN: 03-0463017 | Plan No. 001 ]

Form 5500 filing classifies CLEMMONS ASSISTED LIVING LLC 401(K) PROFIT SHARING PLAN & TRUST as a 401(k) plan, sponsored by CLEMMONS ASSISTED LIVING LLC. The plan is a Small Plan with 0 participants and total assets of $0 reported for the 2011 plan year.

401(k) plans are subject to ERISA disclosure requirements and annual reporting obligations.

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Plan Sponsor: CLEMMONS ASSISTED LIVING LLC

Location: PO BOX 259, PETALUMA, CA 94953

EIN: 030463017

Plan Number: 001

Plan Year: 2011

Plan Size: Small Plan

Plan Entity Type: Defined Contribution

Plan Type: 401(k)

Participants: 0

Total Assets: $0

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