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| Plan Name | BORREGO COMMUNITY HLTH FNDTN |
| Plan identification number | 511 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | BORREGO COMMUNITY HEALTH FOUNDATION |
| Employer identification number (EIN): | 330440021 |
| NAIC Classification: | 621112 |
| NAIC Description: | Offices of Physicians, Mental Health Specialists |
Additional information about BORREGO COMMUNITY HEALTH FOUNDATION
| Jurisdiction of Incorporation: | California Department of State |
| Incorporation Date: | 1990-04-19 |
| Company Identification Number: | C1567312 |
| Legal Registered Office Address: |
4343 Yaqui Pass Rd Borrego Springs United States of America (USA) 92004-2369 |
More information about BORREGO COMMUNITY HEALTH FOUNDATION
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 511 | 2010-09-01 |
| 2010: BORREGO COMMUNITY HLTH FNDTN 2010 form 5500 responses | ||
|---|---|---|
| 2010-09-01 | Type of plan entity | Single employer plan |
| 2010-09-01 | First time form 5500 has been submitted | Yes |
| 2010-09-01 | Submission has been amended | Yes |
| 2010-09-01 | This submission is the final filing | No |
| 2010-09-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2010-09-01 | Plan is a collectively bargained plan | No |
| 2010-09-01 | Plan funding arrangement – Insurance | Yes |
| 2010-09-01 | Plan benefit arrangement – Insurance | Yes |
| PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 ) | |
| Policy contract number | 00 |
| Policy instance | 1 |
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