401k Plan data: MOFFITT HEART AND VASCULAR GROUP HEALTH PLAN plan

MOFFITT HEART AND VASCULAR GROUP HEALTH PLAN 401k Plan overview

Plan Name	MOFFITT HEART AND VASCULAR GROUP HEALTH PLAN
Plan identification number	501

MOFFITT HEART AND VASCULAR GROUP HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Long-term disability cover

401k Sponsoring company profile

MOFFITT HEART & VASCULAR GROUP has sponsored the creation of one or more 401k plans.

Company Name: MOFFITT HEART & VASCULAR GROUP

Employer identification number (EIN): 231864722

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MOFFITT HEART AND VASCULAR GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2010-01-01 KATHY SNOKE KATHY SNOKE 2011-07-26
501 2009-01-01 KATHY SNOKE KATHY SNOKE 2010-09-29

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2010-01-01	KATHY SNOKE		KATHY SNOKE	2011-07-26
501	2009-01-01	KATHY SNOKE		KATHY SNOKE	2010-09-29

Plan Statistics for MOFFITT HEART AND VASCULAR GROUP HEALTH PLAN

401k plan membership statisitcs for MOFFITT HEART AND VASCULAR GROUP HEALTH PLAN

Measure Date Value
2010: MOFFITT HEART AND VASCULAR GROUP HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 109
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 108
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 108
2009: MOFFITT HEART AND VASCULAR GROUP HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 123
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 109
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 109

Measure	Date	Value
2010: MOFFITT HEART AND VASCULAR GROUP HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	109
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	108
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	108
2009: MOFFITT HEART AND VASCULAR GROUP HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	123
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	109
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	109

Form 5500 Responses for MOFFITT HEART AND VASCULAR GROUP HEALTH PLAN

2010: MOFFITT HEART AND VASCULAR GROUP HEALTH PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: MOFFITT HEART AND VASCULAR GROUP HEALTH 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 – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	MOFFITT HEART & VASCULAR GROUP
Employer identification number (EIN):	231864722
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)