|
VALLEY FAMILY HEALTH CARE, INC. 403(B)(7) PLAN
|
2013
|
820371383
|
2014-08-01
|
VALLEY FAMILY HEALTH CARE, INC.
|
108
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2086429376
|
| Plan sponsor’s
address |
1441 N.E. 10TH AVENUE, PAYETTE, ID, 83661
|
|
|
VALLEY FAMILY HEALTH CARE, INC. 403(B)(7) PLAN
|
2012
|
820371383
|
2013-09-12
|
VALLEY FAMILY HEALTH CARE, INC.
|
109
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2086429376
|
| Plan sponsor’s
address |
1441 N.E. 10TH AVENUE, PAYETTE, ID, 83661
|
Signature of
| Role |
Plan administrator |
| Date |
2013-09-12 |
| Name of individual signing |
BILL MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-09-12 |
| Name of individual signing |
BILL MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
VALLEY FAMILY HEALTH CARE, INC. 403(B)(7) PLAN
|
2011
|
820371383
|
2012-07-23
|
VALLEY FAMILY HEALTH CARE, INC.
|
96
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2086429376
|
| Plan sponsor’s
address |
1441 N.E. 10TH AVENUE, PAYETTE, ID, 83661
|
Plan administrator’s name and address
| Administrator’s EIN |
820371383 |
| Plan administrator’s name |
VALLEY FAMILY HEALTH CARE, INC. |
| Plan administrator’s
address |
1441 N.E. 10TH AVENUE, PAYETTE, ID, 83661 |
| Administrator’s telephone number |
2086429376 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-23 |
| Name of individual signing |
BILL MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-07-23 |
| Name of individual signing |
BILL MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
VALLEY FAMILY HEALTH CARE, INC. 403(B)(7) PLAN
|
2010
|
820371383
|
2011-08-17
|
VALLEY FAMILY HEALTH CARE, INC.
|
113
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2086429376
|
| Plan sponsor’s
address |
1441 N.E. 10TH AVENUE, PAYETTE, ID, 83661
|
Plan administrator’s name and address
| Administrator’s EIN |
820371383 |
| Plan administrator’s name |
VALLEY FAMILY HEALTH CARE, INC. |
| Plan administrator’s
address |
1441 N.E. 10TH AVENUE, PAYETTE, ID, 83661 |
| Administrator’s telephone number |
2086429376 |
Signature of
| Role |
Plan administrator |
| Date |
2011-08-17 |
| Name of individual signing |
BILL MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-08-17 |
| Name of individual signing |
BILL MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
VALLEY FAMILY HEALTH CARE, INC. 403(B) (7) PLAN
|
2009
|
820371383
|
2010-10-15
|
VALLEY FAMILY HEALTH CARE, INC.
|
111
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2086429376
|
| Plan sponsor’s mailing address |
1441 NE 10TH AVENUE, PAYETTE, ID, 83661
|
| Plan sponsor’s
address |
1441 NE 10TH AVENUE, PAYETTE, ID, 83661
|
Plan administrator’s name and address
| Administrator’s EIN |
820371383 |
| Plan administrator’s name |
VALLEY FAMILY HEALTH CARE, INC. |
| Plan administrator’s
address |
1441 NE 10TH AVENUE, PAYETTE, ID, 83661 |
| Administrator’s telephone number |
2086429376 |
Number of participants as of the end of the plan year
| Active participants |
88 |
| Retired or separated participants receiving
benefits |
5 |
| Other
retired or separated participants entitled to future benefits |
20 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
100 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-15 |
| Name of individual signing |
COOKIE ATKINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
