IDAHO HOSPITAL ASSOCIATION RETIREMENT PLAN
|
2013
|
820303074
|
2015-02-05
|
IDAHO HOSPITAL ASSOCIATION
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-11-01
|
Business code |
541990
|
Sponsor’s telephone number |
2083385100
|
Plan sponsor’s mailing address |
P.O. BOX 1278, 615 N. SEVENTH STREET, BOISE, ID, 837011278
|
Plan sponsor’s
address |
615 N. SEVENTH STREET, BOISE, ID, 83701
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-02-05 |
Name of individual signing |
LARRY TISDALE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IDAHO HOSPITAL ASSOCIATION RETIREMENT PLAN
|
2012
|
820303074
|
2014-03-11
|
IDAHO HOSPITAL ASSOCIATION
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-11-01
|
Business code |
541990
|
Sponsor’s telephone number |
2083385100
|
Plan sponsor’s mailing address |
P.O. BOX 1278, BOISE, ID, 837011278
|
Plan sponsor’s
address |
615 N. SEVENTH STREET, BOISE, ID, 83701
|
Number of participants as of the end of the plan year
Active participants |
13 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
5 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-03-11 |
Name of individual signing |
LARRY TISDALE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IDAHO HOSPITAL ASSOCIATION RETIREMENT PLAN
|
2011
|
820303074
|
2013-06-13
|
IDAHO HOSPITAL ASSOCIATION
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-11-01
|
Business code |
541990
|
Sponsor’s telephone number |
2083385100
|
Plan sponsor’s mailing address |
P.O. BOX 1278, BOISE, ID, 837011278
|
Plan sponsor’s
address |
615 N. SEVENTH STREET, BOISE, ID, 83701
|
Plan administrator’s name and address
Administrator’s EIN |
820303074 |
Plan administrator’s name |
IDAHO HOSPITAL ASSOCIATION |
Plan administrator’s
address |
P.O. BOX 1278, BOISE, ID, 837011278 |
Administrator’s telephone number |
2083385100 |
Number of participants as of the end of the plan year
Active participants |
14 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
5 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-06-13 |
Name of individual signing |
LARRY TISDALE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IDAHO HOSPITAL ASSOCIATION RETIREMENT PLAN
|
2010
|
820303074
|
2012-05-29
|
IDAHO HOSPITAL ASSOCIATION
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-11-01
|
Business code |
541990
|
Sponsor’s telephone number |
2083385100
|
Plan sponsor’s mailing address |
P.O. BOX 1278, BOISE, ID, 837011278
|
Plan sponsor’s
address |
615 N. SEVENTH STREET, BOISE, ID, 83701
|
Plan administrator’s name and address
Administrator’s EIN |
820303074 |
Plan administrator’s name |
IDAHO HOSPITAL ASSOCIATION |
Plan administrator’s
address |
P.O. BOX 1278, BOISE, ID, 837011278 |
Administrator’s telephone number |
2083385100 |
Number of participants as of the end of the plan year
Active participants |
16 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
4 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-05-29 |
Name of individual signing |
LARRY TISDALE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IDAHO HOSPITAL ASSOCIATION RETIREMENT PLAN
|
2009
|
820303074
|
2011-05-09
|
IDAHO HOSPITAL ASSOCIATION
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-11-01
|
Business code |
541990
|
Sponsor’s telephone number |
2083385100
|
Plan sponsor’s mailing address |
P.O. BOX 1278, BOISE, ID, 837011278
|
Plan sponsor’s
address |
615 N. SEVENTH STREET, BOISE, ID, 83701
|
Plan administrator’s name and address
Administrator’s EIN |
820303074 |
Plan administrator’s name |
IDAHO HOSPITAL ASSOCIATION |
Plan administrator’s
address |
P.O. BOX 1278, BOISE, ID, 837011278 |
Administrator’s telephone number |
2083385100 |
Number of participants as of the end of the plan year
Active participants |
16 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
5 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-05-09 |
Name of individual signing |
LARRY TISDALE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|