PEAK VISTA COMMUNITY HEALTH CENTERS 403B PLAN
|
2014
|
840617567
|
2015-10-13
|
PEAK VISTA COMMUNITY HEALTH CENTERS
|
817
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7196306440
|
Plan sponsor’s mailing address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910
|
Plan sponsor’s
address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910
|
Number of participants as of the end of the plan year
Active participants |
759 |
Other
retired or separated participants entitled to future benefits |
92 |
Number of
participants
with
account balances as of the end of the plan year |
688 |
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 |
2015-10-13 |
Name of individual signing |
BRADY FITZWATER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-13 |
Name of individual signing |
BRADY FITZWATER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEAK VISTA COMMUNITY HEALTH CENTERS 403B PLAN
|
2013
|
840617567
|
2014-09-11
|
PEAK VISTA COMMUNITY HEALTH CENTERS
|
662
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7196306440
|
Plan sponsor’s mailing address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910
|
Plan sponsor’s
address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910
|
Number of participants as of the end of the plan year
Active participants |
652 |
Other
retired or separated participants entitled to future benefits |
165 |
Number of
participants
with
account balances as of the end of the plan year |
686 |
Signature of
Role |
Plan administrator |
Date |
2014-09-11 |
Name of individual signing |
BRADY FITZWATER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEAK VISTA COMMUNITY HEALTH CENTERS 403B PLAN
|
2012
|
840617567
|
2013-09-18
|
PEAK VISTA COMMUNITY HEALTH CENTERS
|
607
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7196306440
|
Plan sponsor’s mailing address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910
|
Plan sponsor’s
address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910
|
Number of participants as of the end of the plan year
Active participants |
559 |
Other
retired or separated participants entitled to future benefits |
103 |
Number of
participants
with
account balances as of the end of the plan year |
531 |
Signature of
Role |
Plan administrator |
Date |
2013-09-18 |
Name of individual signing |
BRADY FITZWATER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEAK VISTA COMMUNITY HEALTH CENTERS, FLEXIBLE BENEFIT PLAN
|
2012
|
840617567
|
2013-06-28
|
PEAK VISTA COMMUNITY HEALTH CENTERS
|
113
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1988-01-01
|
Business code |
621498
|
Plan
sponsor’s DBA name |
PEAK VISTA COMMUNITY HEALTH CENTERS
|
Plan sponsor’s mailing address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910
|
Plan sponsor’s
address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910
|
Plan administrator’s name and address
Administrator’s EIN |
840617567 |
Plan administrator’s name |
BRADY FITZWATER |
Plan administrator’s
address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-06-28 |
Name of individual signing |
BRADY FITZWATER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEAK VISTA COMMUNITY HEALTH CENTERS 403B PLAN
|
2011
|
840617567
|
2012-07-26
|
PEAK VISTA COMMUNITY HEALTH CENTERS
|
430
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7196306440
|
Plan sponsor’s mailing address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910
|
Plan sponsor’s
address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910
|
Plan administrator’s name and address
Administrator’s EIN |
840617567 |
Plan administrator’s name |
PEAK VISTA COMMUNITY HEALTH CENTERS |
Plan administrator’s
address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910 |
Administrator’s telephone number |
7196306440 |
Number of participants as of the end of the plan year
Active participants |
543 |
Other
retired or separated participants entitled to future benefits |
64 |
Number of
participants
with
account balances as of the end of the plan year |
502 |
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 |
2012-07-26 |
Name of individual signing |
KATIE LUTZE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEAK VISTA COMMUNITY HEALTH CENTERS, FLEXIBLE BENEFIT PLAN
|
2011
|
840617567
|
2012-03-14
|
PEAK VISTA COMMUNITY HEALTH CENTERS
|
128
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1988-01-01
|
Business code |
621498
|
Plan
sponsor’s DBA name |
PEAK VISTA COMMUNITY HEALTH CENTERS
|
Plan sponsor’s mailing address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910
|
Plan sponsor’s
address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910
|
Plan administrator’s name and address
Administrator’s EIN |
840617567 |
Plan administrator’s name |
KATIE LUTZE |
Plan administrator’s
address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-03-14 |
Name of individual signing |
KATIE LUTZE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEAK VISTA COMMUNITY HEALTH CENTERS 403B PLAN
|
2010
|
840617567
|
2011-10-14
|
PEAK VISTA COMMUNITY HEALTH CENTERS
|
426
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7196306440
|
Plan sponsor’s mailing address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910
|
Plan sponsor’s
address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910
|
Plan administrator’s name and address
Administrator’s EIN |
840617567 |
Plan administrator’s name |
PEAK VISTA COMMUNITY HEALTH CENTERS |
Plan administrator’s
address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910 |
Administrator’s telephone number |
7196306440 |
Number of participants as of the end of the plan year
Active participants |
426 |
Other
retired or separated participants entitled to future benefits |
4 |
Number of
participants
with
account balances as of the end of the plan year |
435 |
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 |
2011-10-14 |
Name of individual signing |
KATIE LUTZE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEAK VISTA COMMUNITY HEALTH CENTERS, FLEXIBLE BENEFIT PLAN
|
2010
|
840617567
|
2011-07-29
|
PEAK VISTA COMMUNITY HEALTH CENTERS
|
131
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1988-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
7196306440
|
Plan sponsor’s mailing address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910
|
Plan sponsor’s
address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910
|
Plan administrator’s name and address
Administrator’s EIN |
840617567 |
Plan administrator’s name |
KATIE LUTZE |
Plan administrator’s
address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910 |
Administrator’s telephone number |
7196306440 |
Number of participants as of the end of the plan year
Active participants |
131 |
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 |
Signature of
Role |
Plan administrator |
Date |
2011-07-28 |
Name of individual signing |
KATIE LUTZE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEAK VISTA COMMUNITY HEALTH CENTERS, FLEXIBLE BENEFIT PLAN
|
2009
|
840617567
|
2010-08-10
|
PEAK VISTA COMMUNITY HEALTH CENTERS
|
131
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1988-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
7196306440
|
Plan sponsor’s mailing address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910
|
Plan sponsor’s
address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910
|
Plan administrator’s name and address
Administrator’s EIN |
840617567 |
Plan administrator’s name |
PAMELA MCMANUS |
Plan administrator’s
address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910 |
Administrator’s telephone number |
7196306440 |
Number of participants as of the end of the plan year
Active participants |
114 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-08-10 |
Name of individual signing |
PAM MCMANUS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEAK VISTA COMMUNITY HEALTH CENTERS 403 (B) PLAN
|
2009
|
840617567
|
2010-07-27
|
PEAK VISTA COMMUNITY HEALTH CENTERS
|
323
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7196306440
|
Plan sponsor’s mailing address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910
|
Plan sponsor’s
address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910
|
Plan administrator’s name and address
Administrator’s EIN |
840617567 |
Plan administrator’s name |
PEAK VISTA COMMUNITY HEALTH CENTERS |
Plan administrator’s
address |
340 PRINTERS PARKWAY, COLORADO SPRINGS, CO, 80910 |
Administrator’s telephone number |
7196306440 |
Number of participants as of the end of the plan year
Active participants |
422 |
Other
retired or separated participants entitled to future benefits |
4 |
Number of
participants
with
account balances as of the end of the plan year |
396 |
Signature of
Role |
Plan administrator |
Date |
2010-07-27 |
Name of individual signing |
GINA WISEMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|