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| Plan Name | SHANDS JACKSONVILLE VISION PROGRAM |
| Plan identification number | 509 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SHANDS JACKSONVILLE MEDICAL CENTER, INC. |
| Employer identification number (EIN): | 592182859 |
Additional information about SHANDS JACKSONVILLE MEDICAL CENTER, INC.
| Jurisdiction of Incorporation: | Florida Department of State Division of Corporations |
| Incorporation Date: | 1981-06-30 |
| Company Identification Number: | 759011 |
| Legal Registered Office Address: |
655 WEST 8TH STREET JACKSONVILLE 32209 |
More information about SHANDS JACKSONVILLE MEDICAL CENTER, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 509 | 2017-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2017: SHANDS JACKSONVILLE VISION PROGRAM 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 3,921 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 4,158 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 7 |
| Total of all active and inactive participants | 2017-01-01 | 4,165 |
| Total participants | 2017-01-01 | 4,165 |
| 2017: SHANDS JACKSONVILLE VISION PROGRAM 2017 form 5500 responses | ||
|---|---|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | First time form 5500 has been submitted | Yes |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
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