401k Plan data: LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN plan

LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 401k Plan overview

Plan Name	LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN
Plan identification number	003

LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

LANDMARK MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name: LANDMARK MEDICAL CENTER

Employer identification number (EIN): 222921474

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about LANDMARK MEDICAL CENTER

Jurisdiction of Incorporation: Secretary of State Rhode Island

Incorporation Date:

Company Identification Number: 000063167

More information about LANDMARK MEDICAL CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2016-01-01
003 2015-01-01
003 2014-01-01 JONATHAN N. SAVAGE
003 2013-01-01 JONATHAN N. SAVAGE
003 2012-01-01 RICHARD CHAREST
003 2011-01-01 RICHARD CHAREST
003 2009-01-01 RICHARD CHAREST
003 2009-01-01 RICHARD CHAREST

Plan Statistics for LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN

401k plan membership statisitcs for LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN

Measure Date Value
2015: LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 216
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 52
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 52
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 52
Number of participants with account balances 2015-01-01 52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 565
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 216
Total of all active and inactive participants 2014-01-01 216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 216
Number of participants with account balances 2014-01-01 216
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 967
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 565
Total of all active and inactive participants 2013-01-01 565
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 565
Number of participants with account balances 2013-01-01 565
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 980
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 767
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 200
Total of all active and inactive participants 2012-01-01 967
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 967
Number of participants with account balances 2012-01-01 523
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 844
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 780
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 197
Total of all active and inactive participants 2011-01-01 978
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 978
Number of participants with account balances 2011-01-01 516
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 4
2009: LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 719
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 701
Number of retired or separated participants receiving benefits 2009-01-01 1
Number of other retired or separated participants entitled to future benefits 2009-01-01 130
Total of all active and inactive participants 2009-01-01 832
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 833
Number of participants with account balances 2009-01-01 466
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 11

Measure	Date	Value
2015: LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	216
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	52
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	52
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	52
Number of participants with account balances	2015-01-01	52
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	565
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	216
Total of all active and inactive participants	2014-01-01	216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	216
Number of participants with account balances	2014-01-01	216
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	967
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	565
Total of all active and inactive participants	2013-01-01	565
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	565
Number of participants with account balances	2013-01-01	565
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	980
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	767
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	200
Total of all active and inactive participants	2012-01-01	967
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	967
Number of participants with account balances	2012-01-01	523
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	844
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	780
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	197
Total of all active and inactive participants	2011-01-01	978
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	978
Number of participants with account balances	2011-01-01	516
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	4
2009: LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	719
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	701
Number of retired or separated participants receiving benefits	2009-01-01	1
Number of other retired or separated participants entitled to future benefits	2009-01-01	130
Total of all active and inactive participants	2009-01-01	832
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	833
Number of participants with account balances	2009-01-01	466
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	11

Financial Data on LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN

Measure	Date	Value
2015 : LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$58,133
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,390,937
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,389,857
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$0
Value of total assets at end of year	2015-12-31	$610,587
Value of total assets at beginning of year	2015-12-31	$1,943,391
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$1,080
Total interest from all sources	2015-12-31	$4,362
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$8,594
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$8,594
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Participant contributions at end of year	2015-12-31	$0
Participant contributions at beginning of year	2015-12-31	$0
Administrative expenses (other) incurred	2015-12-31	$1,080
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-1,332,804
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$610,587
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$1,943,391
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$585,024
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$1,724,806
Interest earned on other investments	2015-12-31	$4,362
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$25,563
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$218,585
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$45,177
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,389,857
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	YKSM, LTD.
Accountancy firm EIN	2015-12-31	050514919
2014 : LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$128,142
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$12,889,526
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$12,883,061
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$33,608
Value of total assets at end of year	2014-12-31	$1,943,391
Value of total assets at beginning of year	2014-12-31	$14,704,775
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$6,465
Total interest from all sources	2014-12-31	$14,989
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$24,866
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2014-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$24,866
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$33,608
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$204,526
Administrative expenses (other) incurred	2014-12-31	$590
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-12,761,384
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$1,943,391
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$14,704,775
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$1,724,806
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$12,812,006
Interest on participant loans	2014-12-31	$-157
Interest earned on other investments	2014-12-31	$15,146
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$218,585
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$1,688,243
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$54,679
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$12,883,061
Contract administrator fees	2014-12-31	$5,875
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	YKSM, LTD.
Accountancy firm EIN	2014-12-31	050514919
2013 : LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$3,742,220
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$1,677,029
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,623,765
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,089,613
Value of total assets at end of year	2013-12-31	$14,704,775
Value of total assets at beginning of year	2013-12-31	$12,639,584
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$53,264
Total interest from all sources	2013-12-31	$57,197
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$100,244
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2013-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$100,244
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,070,617
Participant contributions at end of year	2013-12-31	$204,526
Participant contributions at beginning of year	2013-12-31	$215,136
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$18,996
Other income not declared elsewhere	2013-12-31	$38,576
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$2,065,191
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$14,704,775
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$12,639,584
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$12,812,006
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$10,844,417
Interest on participant loans	2013-12-31	$9,358
Interest earned on other investments	2013-12-31	$47,839
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$1,688,243
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$1,580,031
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$2,456,590
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,623,765
Contract administrator fees	2013-12-31	$53,264
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	KAHN, LITWIN, RENZA & CO., LTD
Accountancy firm EIN	2013-12-31	050409384
2012 : LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$2,440,752
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$1,147,556
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,115,115
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,047,113
Value of total assets at end of year	2012-12-31	$12,639,584
Value of total assets at beginning of year	2012-12-31	$11,346,388
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$32,441
Total interest from all sources	2012-12-31	$53,830
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$131,007
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$131,007
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,042,109
Participant contributions at end of year	2012-12-31	$215,136
Participant contributions at beginning of year	2012-12-31	$164,471
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$5,004
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$1,293,196
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$12,639,584
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$11,346,388
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$10,844,417
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$9,573,947
Interest on participant loans	2012-12-31	$7,424
Interest earned on other investments	2012-12-31	$46,406
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$1,580,031
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$1,607,970
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,208,802
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,115,115
Contract administrator fees	2012-12-31	$32,441
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	KAHN, LITWIN, RENZA & CO., LTD
Accountancy firm EIN	2012-12-31	050409384
2011 : LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$861,482
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$830,545
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$791,050
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,144,310
Value of total assets at end of year	2011-12-31	$11,346,388
Value of total assets at beginning of year	2011-12-31	$11,315,451
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$39,495
Total interest from all sources	2011-12-31	$53,005
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$119,711
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$119,711
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$1,144,310
Participant contributions at end of year	2011-12-31	$164,471
Participant contributions at beginning of year	2011-12-31	$136,307
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$30,937
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$11,346,388
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$11,315,451
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$9,573,947
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$9,632,075
Interest on participant loans	2011-12-31	$5,789
Interest earned on other investments	2011-12-31	$47,216
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$1,607,970
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$1,547,069
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-455,544
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$791,050
Contract administrator fees	2011-12-31	$39,495
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	KAHN, LITWIN, RENZA & CO., LTD
Accountancy firm EIN	2011-12-31	050409384
2010 : LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$2,285,207
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$968,224
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$948,541
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,149,648
Value of total assets at end of year	2010-12-31	$11,315,451
Value of total assets at beginning of year	2010-12-31	$9,998,468
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$19,683
Total interest from all sources	2010-12-31	$46,748
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$102,110
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$102,110
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$1,114,821
Participant contributions at end of year	2010-12-31	$136,307
Participant contributions at beginning of year	2010-12-31	$104,853
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$34,765
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$1,316,983
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$11,315,451
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$9,998,468
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$9,632,075
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$8,622,648
Interest on participant loans	2010-12-31	$4,426
Interest earned on other investments	2010-12-31	$42,322
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$1,547,069
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$1,270,967
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$986,701
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$62
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$948,541
Contract administrator fees	2010-12-31	$19,683
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	KAHN, LITWIN, RENZA & CO., LTD
Accountancy firm EIN	2010-12-31	050409384
2009 : LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN

2015: LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: LANDMARK MEDICAL CENTER TAX SHELTER ANNUITY PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

006804

Policy instance

Insurance contract or identification number	006804
Number of Individuals Covered	52
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

006804

Policy instance

Insurance contract or identification number	006804
Number of Individuals Covered	216
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

006804

Policy instance

Insurance contract or identification number	006804
Number of Individuals Covered	565
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

006804

Policy instance

Insurance contract or identification number	006804
Number of Individuals Covered	523
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

006804

Policy instance

Insurance contract or identification number	006804
Number of Individuals Covered	516
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

006804

Policy instance

Insurance contract or identification number	006804
Number of Individuals Covered	488
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
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See full terms and conditions

Company Name:	LANDMARK MEDICAL CENTER
Employer identification number (EIN):	222921474
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Secretary of State Rhode Island
Incorporation Date:
Company Identification Number:	000063167

Plan id#	Filing Submission Date	Name of Administrator
003	2016-01-01
003	2015-01-01
003	2014-01-01	JONATHAN N. SAVAGE
003	2013-01-01	JONATHAN N. SAVAGE
003	2012-01-01	RICHARD CHAREST
003	2011-01-01	RICHARD CHAREST
003	2009-01-01	RICHARD CHAREST
003	2009-01-01	RICHARD CHAREST