ROCKY MOUNTAIN HEALTH CARE SERVICES 403(B) PLAN
|
2018
|
840765729
|
2019-10-16
|
ROCKY MOUNTAIN HEALTH CARE SERVICES
|
360
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
7194668777
|
Plan sponsor’s mailing address |
310 SOUTH 14TH STREET, COLORADO SPRINGS, CO, 80904
|
Plan sponsor’s
address |
310 SOUTH 14TH STREET, COLORADO SPRINGS, CO, 80904
|
Number of participants as of the end of the plan year
Active participants |
366 |
Retired or separated participants receiving
benefits |
124 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
423 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
49 |
Signature of
Role |
Plan administrator |
Date |
2019-10-16 |
Name of individual signing |
KIM GINTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN HEALTH CARE SERVICES 403(B) PLAN
|
2017
|
840765729
|
2018-09-10
|
ROCKY MOUNTAIN HEALTH CARE SERVICES
|
312
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
7194668777
|
Plan sponsor’s mailing address |
310 SOUTH 14TH STREET, COLORADO SPRINGS, CO, 80904
|
Plan sponsor’s
address |
310 SOUTH 14TH STREET, COLORADO SPRINGS, CO, 80904
|
Number of participants as of the end of the plan year
Active participants |
359 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
91 |
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 |
439 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
61 |
Signature of
Role |
Plan administrator |
Date |
2018-09-10 |
Name of individual signing |
KIM GINTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN HEALTH CARE SERVICES 403(B) PLAN
|
2016
|
840765729
|
2017-10-13
|
ROCKY MOUNTAIN HEALTH CARE SERVICES
|
332
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
7194668777
|
Plan sponsor’s mailing address |
310 SOUTH 14TH STREET, COLORADO SPRINGS, CO, 80904
|
Plan sponsor’s
address |
310 SOUTH 14TH STREET, COLORADO SPRINGS, CO, 80904
|
Number of participants as of the end of the plan year
Active participants |
312 |
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 |
281 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
68 |
Signature of
Role |
Plan administrator |
Date |
2017-10-13 |
Name of individual signing |
TAMRIN APAYDIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN HEALTH CARE SERVICES 403(B)
|
2015
|
840765729
|
2016-10-17
|
ROCKY MOUNTAIN HEALTH CARE SERVICES
|
346
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
7194668777
|
Plan sponsor’s mailing address |
310 SOUTH 14TH STREET, COLORADO SPRINGS, CO, 80904
|
Plan sponsor’s
address |
310 SOUTH 14TH STREET, COLORADO SPRINGS, CO, 80904
|
Number of participants as of the end of the plan year
Active participants |
266 |
Retired or separated participants receiving
benefits |
1 |
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 |
263 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
21 |
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
TAMRIN APAYDIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN HEALTH CARE SERVICES 403(B)
|
2014
|
840765729
|
2015-10-15
|
ROCKY MOUNTAIN HEALTH CARE SERVICES
|
215
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
7194570660
|
Plan sponsor’s mailing address |
310 SOUTH 14TH STREET, COLORADO SPRINGS, CO, 80904
|
Plan sponsor’s
address |
310 SOUTH 14TH STREET, COLORADO SPRINGS, CO, 80904
|
Number of participants as of the end of the plan year
Active participants |
346 |
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 |
218 |
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 |
2015-10-15 |
Name of individual signing |
TAMRIN APAYDIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN HEALTH CARE SERVICES 403(B)
|
2014
|
840765729
|
2015-10-15
|
ROCKY MOUNTAIN HEALTH CARE SERVICES
|
215
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
7194570660
|
Plan sponsor’s mailing address |
310 SOUTH 14TH STREET, COLORADO SPRINGS, CO, 80904
|
Plan sponsor’s
address |
310 SOUTH 14TH STREET, COLORADO SPRINGS, CO, 80904
|
Number of participants as of the end of the plan year
Active participants |
346 |
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 |
218 |
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 |
2015-10-15 |
Name of individual signing |
TAMRIN APAYDIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN HEALTH CARE SERVICES 403(B)
|
2013
|
840765729
|
2014-07-25
|
ROCKY MOUNTAIN HEALTH CARE SERVICES
|
233
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
7194668777
|
Plan sponsor’s mailing address |
310 SOUTH 14TH STREET, COLORADO SPRINGS, CO, 80904
|
Plan sponsor’s
address |
310 SOUTH 14TH STREET, COLORADO SPRINGS, CO, 80904
|
Number of participants as of the end of the plan year
Active participants |
215 |
Retired or separated participants receiving
benefits |
16 |
Number of
participants
with
account balances as of the end of the plan year |
215 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
18 |
|
ROCKY MOUNTAIN HEALTH CARE SERVICES 403(B)
|
2012
|
840765729
|
2013-08-28
|
ROCKY MOUNTAIN HEALTH CARE SERVICES
|
225
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
7194570660
|
Plan sponsor’s mailing address |
310 SOUTH 14TH STREET, COLORADO SPRINGS, CO, 80904
|
Plan sponsor’s
address |
310 SOUTH 14TH STREET, COLORADO SPRINGS, CO, 80904
|
Number of participants as of the end of the plan year
Active participants |
229 |
Retired or separated participants receiving
benefits |
4 |
Number of
participants
with
account balances as of the end of the plan year |
229 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
10 |
Signature of
Role |
Plan administrator |
Date |
2013-08-28 |
Name of individual signing |
TAMRIN APAYDIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN HEALTH CARE SERVICES 403(B)
|
2011
|
840765729
|
2012-09-13
|
ROCKY MOUNTAIN HEALTH CARE SERVICES
|
190
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
7194570660
|
Plan sponsor’s mailing address |
310 SOUTH 14TH STREET, COLORADO SPRINGS, CO, 80904
|
Plan sponsor’s
address |
310 SOUTH 14TH STREET, COLORADO SPRINGS, CO, 80904
|
Plan administrator’s name and address
Administrator’s EIN |
840765729 |
Plan administrator’s name |
ROCKY MOUNTAIN HEALTH CARE SERVICES |
Plan administrator’s
address |
310 SOUTH 14TH STREET, COLORADO SPRINGS, CO, 80904 |
Administrator’s telephone number |
7194570660 |
Number of participants as of the end of the plan year
Active participants |
220 |
Retired or separated participants receiving
benefits |
5 |
Number of
participants
with
account balances as of the end of the plan year |
94 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
Signature of
Role |
Plan administrator |
Date |
2012-09-13 |
Name of individual signing |
LAURIE TEBO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCKY MOUNTAIN HEALTH CARE LIFE & DISABILITY
|
2010
|
840765729
|
2012-04-13
|
ROCKY MOUNTAIN HEALTH CARE SERVICES
|
128
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2009-11-01
|
Business code |
621610
|
Sponsor’s telephone number |
7194570660
|
Plan sponsor’s mailing address |
2812 E. BIJOU STREET, COLORADO SPRINGS, CO, 80909
|
Plan sponsor’s
address |
2812 E. BIJOU STREET, COLORADO SPRINGS, CO, 80909
|
Plan administrator’s name and address
Administrator’s EIN |
840765729 |
Plan administrator’s name |
ROCKY MOUNTAIN HEALTH CARE SERVICES |
Plan administrator’s
address |
2812 E. BIJOU STREET, COLORADO SPRINGS, CO, 80909 |
Administrator’s telephone number |
7194570660 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-04-11 |
Name of individual signing |
LAURIE TEBO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|