HEALTH BENEFIT PLAN FOR EMPLOYEES OF HOLZER CLINIC- LONG TERM DISABILITY 401k Plan overview

HEALTH BENEFIT PLAN FOR EMPLOYEES OF HOLZER CLINIC- LONG TERM DISABILITY Benefits

401k Sponsoring company profile

Company Name:	HOLZER CLINIC, INC.
Employer identification number (EIN):	310917085
NAIC Classification:	621498
NAIC Description:	All Other Outpatient Care Centers

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2012-01-01	MIKE HAYNES
502	2011-01-01	MIKE HAYNES
502	2010-01-01	MIKE HAYNES
502	2009-01-01	MIKE HAYNES
502	2009-01-01	MIKE HAYNES		MIKE HAYNES	2010-07-29

Plan Statistics for HEALTH BENEFIT PLAN FOR EMPLOYEES OF HOLZER CLINIC- LONG TERM DISABILITY

Measure	Date	Value
2012: HEALTH BENEFIT PLAN FOR EMPLOYEES OF HOLZER CLINIC- LONG TERM DISABILITY 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,003
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	993
Total of all active and inactive participants	2012-01-01	993
Total participants	2012-01-01	993
2011: HEALTH BENEFIT PLAN FOR EMPLOYEES OF HOLZER CLINIC- LONG TERM DISABILITY 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,021
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,003
Total of all active and inactive participants	2011-01-01	1,003
Total participants	2011-01-01	1,003
2010: HEALTH BENEFIT PLAN FOR EMPLOYEES OF HOLZER CLINIC- LONG TERM DISABILITY 2010 401k membership
Total participants, beginning-of-year	2010-01-01	988
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,021
Total of all active and inactive participants	2010-01-01	1,021
Total participants	2010-01-01	1,021
2009: HEALTH BENEFIT PLAN FOR EMPLOYEES OF HOLZER CLINIC- LONG TERM DISABILITY 2009 401k membership
Total participants, beginning-of-year	2009-01-01	946
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	988
Total of all active and inactive participants	2009-01-01	988
Total participants	2009-01-01	988

Form 5500 Responses for HEALTH BENEFIT PLAN FOR EMPLOYEES OF HOLZER CLINIC- LONG TERM DISABILITY

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