401k Plan data: CAMPBELL CLINIC EMPLOYEE HEALTH PLAN plan

CAMPBELL CLINIC EMPLOYEE HEALTH PLAN 401k Plan overview

Plan Name	CAMPBELL CLINIC EMPLOYEE HEALTH PLAN
Plan identification number	501

CAMPBELL CLINIC EMPLOYEE HEALTH PLAN Benefits

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

401k Sponsoring company profile

CAMPBELL CLINIC, P.C. HUMAN RESOURCES DEPT. has sponsored the creation of one or more 401k plans.

Company Name: CAMPBELL CLINIC, P.C. HUMAN RESOURCES DEPT.

Employer identification number (EIN): 620811256

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAMPBELL CLINIC EMPLOYEE HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2011-01-01 TRACY M. AVERY
501 2010-01-01 TRACY M. AVERY
501 2009-01-01 TRACY M. AVERY
501 2008-01-01 TRACY M. AVERY

Plan id#	Filing Submission Date	Name of Administrator
501	2011-01-01	TRACY M. AVERY
501	2010-01-01	TRACY M. AVERY
501	2009-01-01	TRACY M. AVERY
501	2008-01-01	TRACY M. AVERY

Plan Statistics for CAMPBELL CLINIC EMPLOYEE HEALTH PLAN

401k plan membership statisitcs for CAMPBELL CLINIC EMPLOYEE HEALTH PLAN

Measure Date Value
2011: CAMPBELL CLINIC EMPLOYEE HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 571
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 589
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 589
2010: CAMPBELL CLINIC EMPLOYEE HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 426
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 571
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 2010-01-01 571
2009: CAMPBELL CLINIC EMPLOYEE HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 196
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 426
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 2009-01-01 426
2008: CAMPBELL CLINIC EMPLOYEE HEALTH PLAN 2008 401k membership
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 196
Number of retired or separated participants receiving benefits 2008-01-01 0
Number of other retired or separated participants entitled to future benefits 2008-01-01 0
Total of all active and inactive participants 2008-01-01 196

Measure	Date	Value
2011: CAMPBELL CLINIC EMPLOYEE HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	571
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	589
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	589
2010: CAMPBELL CLINIC EMPLOYEE HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	426
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	571
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	571
2009: CAMPBELL CLINIC EMPLOYEE HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	196
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	426
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	426
2008: CAMPBELL CLINIC EMPLOYEE HEALTH PLAN 2008 401k membership
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	196
Number of retired or separated participants receiving benefits	2008-01-01	0
Number of other retired or separated participants entitled to future benefits	2008-01-01	0
Total of all active and inactive participants	2008-01-01	196

Form 5500 Responses for CAMPBELL CLINIC EMPLOYEE HEALTH PLAN

2011: CAMPBELL CLINIC EMPLOYEE HEALTH PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: CAMPBELL CLINIC EMPLOYEE HEALTH PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: CAMPBELL CLINIC EMPLOYEE HEALTH PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2008: CAMPBELL CLINIC EMPLOYEE HEALTH PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	CAMPBELL CLINIC, P.C. HUMAN RESOURCES DEPT.
Employer identification number (EIN):	620811256
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)