401k Plan data: PIW HEALTH PLAN plan

PIW HEALTH PLAN 401k Plan overview

Plan Name	PIW HEALTH PLAN
Plan identification number	501

PIW HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision Other welfare benefit cover

401k Sponsoring company profile

WISCONSIN AVENUE PSYCHIATRIC CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name: WISCONSIN AVENUE PSYCHIATRIC CENTER, INC.

Employer identification number (EIN): 521907007

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PIW HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2014-01-01 NANCY KURTZMAN
501 2013-01-01 NANCY KURTZMAN
501 2012-01-01 NANCY KURTZMAN

Plan id#	Filing Submission Date	Name of Administrator
501	2014-01-01	NANCY KURTZMAN
501	2013-01-01	NANCY KURTZMAN
501	2012-01-01	NANCY KURTZMAN

Plan Statistics for PIW HEALTH PLAN

401k plan membership statisitcs for PIW HEALTH PLAN

Measure Date Value
2014: PIW HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 102
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Total participants 2014-01-01 0
2013: PIW HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 106
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 102
Total of all active and inactive participants 2013-01-01 102
Total participants 2013-01-01 102
2012: PIW HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 108
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 108
Total of all active and inactive participants 2012-01-01 108
Total participants 2012-01-01 108

Measure	Date	Value
2014: PIW HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	102
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Total participants	2014-01-01	0
2013: PIW HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	106
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	102
Total of all active and inactive participants	2013-01-01	102
Total participants	2013-01-01	102
2012: PIW HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	108
Total of all active and inactive participants	2012-01-01	108
Total participants	2012-01-01	108

Form 5500 Responses for PIW HEALTH PLAN

2014: PIW HEALTH 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	Yes
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 benefit arrangement – Insurance	Yes
2013: PIW HEALTH 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 benefit arrangement – Insurance	Yes
2012: PIW HEALTH PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
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 benefit arrangement – Insurance	Yes

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Company Name:	WISCONSIN AVENUE PSYCHIATRIC CENTER, INC.
Employer identification number (EIN):	521907007
NAIC Classification:	622000
NAIC Description:	Hospitals