401k Plan data: PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN plan

PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN 401k Plan overview

Plan Name	PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN
Plan identification number	505

PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

PROMISE HEALTHCARE, INC. has sponsored the creation of one or more 401k plans.

Company Name: PROMISE HEALTHCARE, INC.

Employer identification number (EIN): 141887953

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about PROMISE HEALTHCARE, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 2003-05-30

Company Identification Number: P03000059552

Legal Registered Office Address: 1201 HAYS STREET

TALLAHASSEE

32301

More information about PROMISE HEALTHCARE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2014-06-01 DAVID ARMSTRONG
505 2013-06-01 DAVID ARMSTRONG
505 2012-06-01 DAVID J. ARMSTRONG, ESQ.
505 2012-01-01 DAVID J. ARMSTRONG, ESQ.
505 2011-01-01 DAVID J. ARMSTRONG, ESQ.
505 2010-01-01 DAVID ARMSTRONG

Plan id#	Filing Submission Date	Name of Administrator
505	2014-06-01	DAVID ARMSTRONG
505	2013-06-01	DAVID ARMSTRONG
505	2012-06-01	DAVID J. ARMSTRONG, ESQ.
505	2012-01-01	DAVID J. ARMSTRONG, ESQ.
505	2011-01-01	DAVID J. ARMSTRONG, ESQ.
505	2010-01-01	DAVID ARMSTRONG

Plan Statistics for PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN

401k plan membership statisitcs for PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN

Measure Date Value
2014: PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-06-01 2,247
Total number of active participants reported on line 7a of the Form 5500 2014-06-01 0
Number of retired or separated participants receiving benefits 2014-06-01 0
Number of other retired or separated participants entitled to future benefits 2014-06-01 0
Total of all active and inactive participants 2014-06-01 0
2013: PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-06-01 3,530
Total number of active participants reported on line 7a of the Form 5500 2013-06-01 2,247
Number of retired or separated participants receiving benefits 2013-06-01 0
Number of other retired or separated participants entitled to future benefits 2013-06-01 0
Total of all active and inactive participants 2013-06-01 2,247
2012: PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-06-01 4,857
Total number of active participants reported on line 7a of the Form 5500 2012-06-01 3,530
Total of all active and inactive participants 2012-06-01 3,530
Total participants 2012-06-01 3,530
Total participants, beginning-of-year 2012-01-01 5,596
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 4,857
Total of all active and inactive participants 2012-01-01 4,857
2011: PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 4,473
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 5,596
Total of all active and inactive participants 2011-01-01 5,596
2010: PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 4,473
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 4,473
Total of all active and inactive participants 2010-01-01 4,473

Measure	Date	Value
2014: PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-06-01	2,247
Total number of active participants reported on line 7a of the Form 5500	2014-06-01	0
Number of retired or separated participants receiving benefits	2014-06-01	0
Number of other retired or separated participants entitled to future benefits	2014-06-01	0
Total of all active and inactive participants	2014-06-01	0
2013: PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-06-01	3,530
Total number of active participants reported on line 7a of the Form 5500	2013-06-01	2,247
Number of retired or separated participants receiving benefits	2013-06-01	0
Number of other retired or separated participants entitled to future benefits	2013-06-01	0
Total of all active and inactive participants	2013-06-01	2,247
2012: PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-06-01	4,857
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	3,530
Total of all active and inactive participants	2012-06-01	3,530
Total participants	2012-06-01	3,530
Total participants, beginning-of-year	2012-01-01	5,596
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	4,857
Total of all active and inactive participants	2012-01-01	4,857
2011: PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	4,473
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	5,596
Total of all active and inactive participants	2011-01-01	5,596
2010: PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	4,473
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	4,473
Total of all active and inactive participants	2010-01-01	4,473

Form 5500 Responses for PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN

2014: PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN 2014 form 5500 responses
2014-06-01	Type of plan entity	Single employer plan
2014-06-01	Submission has been amended	No
2014-06-01	This submission is the final filing	Yes
2014-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-06-01	Plan is a collectively bargained plan	No
2014-06-01	Plan funding arrangement – Insurance	Yes
2014-06-01	Plan benefit arrangement – Insurance	Yes
2013: PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN 2013 form 5500 responses
2013-06-01	Type of plan entity	Single employer plan
2013-06-01	Submission has been amended	Yes
2013-06-01	This submission is the final filing	No
2013-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-06-01	Plan is a collectively bargained plan	No
2013-06-01	Plan funding arrangement – Insurance	Yes
2013-06-01	Plan benefit arrangement – Insurance	Yes
2012: PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN 2012 form 5500 responses
2012-06-01	Type of plan entity	Single employer plan
2012-06-01	Plan funding arrangement – Insurance	Yes
2012-06-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: PROMISE HEALTHCARE LIFE, LONG-TERM DISABILITY AND SHORT-TERM DISABILITY PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	First time form 5500 has been submitted	Yes
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	PROMISE HEALTHCARE, INC.
Employer identification number (EIN):	141887953
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	2003-05-30
Company Identification Number:	P03000059552
Legal Registered Office Address:	1201 HAYS STREET TALLAHASSEE 32301