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HENRIETTA D. GOODALL HOSPITAL, INC. GROUP MEDICAL PLAN 401k Plan overview

Plan NameHENRIETTA D. GOODALL HOSPITAL, INC. GROUP MEDICAL PLAN
Plan identification number 501

HENRIETTA D. GOODALL HOSPITAL, INC. GROUP MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

HENRIETTA D. GOODALL HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name:HENRIETTA D. GOODALL HOSPITAL, INC.
Employer identification number (EIN):010078060
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HENRIETTA D. GOODALL HOSPITAL, INC. GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012012-06-01CAROLYN BURGESS
5012011-06-01CAROLYN BURGESS
5012009-06-01CAROLYN BURGESS
5012009-06-01CAROLYN BURGESS

Plan Statistics for HENRIETTA D. GOODALL HOSPITAL, INC. GROUP MEDICAL PLAN

401k plan membership statisitcs for HENRIETTA D. GOODALL HOSPITAL, INC. GROUP MEDICAL PLAN

Measure Date Value
2012
Total participants, beginning-of-year2012-06-01535
Total number of active participants reported on line 7a of the Form 55002012-06-01524
Total of all active and inactive participants2012-06-01524
2011
Total participants, beginning-of-year2011-06-01508
Total number of active participants reported on line 7a of the Form 55002011-06-01535
Total of all active and inactive participants2011-06-01535
2009
Total participants, beginning-of-year2009-06-01500
Total number of active participants reported on line 7a of the Form 55002009-06-01492
Total of all active and inactive participants2009-06-01492

Form 5500 Responses

2012
2012-06-01Type of plan entitySingle employer plan
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan funding arrangement – General assets of the sponsorYes
2012-06-01Plan benefit arrangement – InsuranceYes
2012-06-01Plan benefit arrangement – General assets of the sponsorYes
2011
2011-06-01Type of plan entitySingle employer plan
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan funding arrangement – General assets of the sponsorYes
2011-06-01Plan benefit arrangement – InsuranceYes
2011-06-01Plan benefit arrangement – General assets of the sponsorYes
2009
2009-06-01Type of plan entitySingle employer plan
2009-06-01Submission has been amendedYes
2009-06-01This submission is the final filingNo
2009-06-01Plan funding arrangement – InsuranceYes
2009-06-01Plan funding arrangement – General assets of the sponsorYes
2009-06-01Plan benefit arrangement – InsuranceYes
2009-06-01Plan benefit arrangement – General assets of the sponsorYes

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