401k Plan data: DOWNEY COMMUNITY HOSPITAL EMPLOYEE BENEFIT TRUST plan

DOWNEY COMMUNITY HOSPITAL EMPLOYEE BENEFIT TRUST 401k Plan overview

Plan Name	DOWNEY COMMUNITY HOSPITAL EMPLOYEE BENEFIT TRUST
Plan identification number	501

DOWNEY COMMUNITY HOSPITAL EMPLOYEE BENEFIT TRUST Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

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

Company Name: DOWNEY REGIONAL MEDICAL CENTER

Employer identification number (EIN): 951903935

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about DOWNEY REGIONAL MEDICAL CENTER

Jurisdiction of Incorporation: California Department of State

Incorporation Date:

Company Identification Number: C1889119

More information about DOWNEY REGIONAL MEDICAL CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DOWNEY COMMUNITY HOSPITAL EMPLOYEE BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-02-01 SCOTT BREMER
501 2012-02-01 SCOTT BREMER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2013-02-01	SCOTT BREMER
501	2012-02-01	SCOTT BREMER

Plan Statistics for DOWNEY COMMUNITY HOSPITAL EMPLOYEE BENEFIT TRUST

401k plan membership statisitcs for DOWNEY COMMUNITY HOSPITAL EMPLOYEE BENEFIT TRUST

Measure Date Value
2013: DOWNEY COMMUNITY HOSPITAL EMPLOYEE BENEFIT TRUST 2013 401k membership
Total participants, beginning-of-year 2013-02-01 2,030
Total number of active participants reported on line 7a of the Form 5500 2013-02-01 0
Number of retired or separated participants receiving benefits 2013-02-01 0
Number of other retired or separated participants entitled to future benefits 2013-02-01 0
Total of all active and inactive participants 2013-02-01 0
2012: DOWNEY COMMUNITY HOSPITAL EMPLOYEE BENEFIT TRUST 2012 401k membership
Total participants, beginning-of-year 2012-02-01 926
Total number of active participants reported on line 7a of the Form 5500 2012-02-01 2,030
Number of retired or separated participants receiving benefits 2012-02-01 0
Number of other retired or separated participants entitled to future benefits 2012-02-01 0
Total of all active and inactive participants 2012-02-01 2,030

Measure	Date	Value
2013: DOWNEY COMMUNITY HOSPITAL EMPLOYEE BENEFIT TRUST 2013 401k membership
Total participants, beginning-of-year	2013-02-01	2,030
Total number of active participants reported on line 7a of the Form 5500	2013-02-01	0
Number of retired or separated participants receiving benefits	2013-02-01	0
Number of other retired or separated participants entitled to future benefits	2013-02-01	0
Total of all active and inactive participants	2013-02-01	0
2012: DOWNEY COMMUNITY HOSPITAL EMPLOYEE BENEFIT TRUST 2012 401k membership
Total participants, beginning-of-year	2012-02-01	926
Total number of active participants reported on line 7a of the Form 5500	2012-02-01	2,030
Number of retired or separated participants receiving benefits	2012-02-01	0
Number of other retired or separated participants entitled to future benefits	2012-02-01	0
Total of all active and inactive participants	2012-02-01	2,030

Form 5500 Responses for DOWNEY COMMUNITY HOSPITAL EMPLOYEE BENEFIT TRUST

2013: DOWNEY COMMUNITY HOSPITAL EMPLOYEE BENEFIT TRUST 2013 form 5500 responses
2013-02-01	Type of plan entity	Single employer plan
2013-02-01	Submission has been amended	No
2013-02-01	This submission is the final filing	Yes
2013-02-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-02-01	Plan is a collectively bargained plan	No
2013-02-01	Plan funding arrangement – Insurance	Yes
2013-02-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-02-01	Plan benefit arrangement – Insurance	Yes
2013-02-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: DOWNEY COMMUNITY HOSPITAL EMPLOYEE BENEFIT TRUST 2012 form 5500 responses
2012-02-01	Type of plan entity	Single employer plan
2012-02-01	Submission has been amended	Yes
2012-02-01	This submission is the final filing	No
2012-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-02-01	Plan is a collectively bargained plan	No
2012-02-01	Plan funding arrangement – Insurance	Yes
2012-02-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-02-01	Plan benefit arrangement – Insurance	Yes
2012-02-01	Plan benefit arrangement – General assets of the sponsor	Yes

Potentially related plans

DOWNEY COMMUNITY HOSPITAL EMPLOYEE BENEFIT TRUST [EIN = 953465078]

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Company Name:	DOWNEY REGIONAL MEDICAL CENTER
Employer identification number (EIN):	951903935
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:
Company Identification Number:	C1889119