|
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 |
|
|
