PLAINS MEDICAL CENTER 403(B) PLAN
|
2014
|
841125934
|
2015-06-11
|
PLAINS MEDICAL CENTER, INC.
|
80
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-10-18
|
Business code |
621111
|
Sponsor’s telephone number |
7197752367
|
Plan sponsor’s
address |
820 FIRST STREET, LIMON, CO, 80828
|
Signature of
Role |
Plan administrator |
Date |
2015-06-11 |
Name of individual signing |
BRADY FITZWATER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-11 |
Name of individual signing |
BRADY FITZWATER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLAINS MEDICAL CENTER 403(B) PLAN
|
2013
|
841125934
|
2014-07-22
|
PLAINS MEDICAL CENTER, INC.
|
76
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-10-18
|
Business code |
621111
|
Sponsor’s telephone number |
7197752367
|
Plan sponsor’s
address |
820 FIRST STREET, LIMON, CO, 80828
|
Plan administrator’s name and address
Administrator’s EIN |
841125934 |
Plan administrator’s name |
PLAINS MEDICAL CENTER, INC. |
Plan administrator’s
address |
820 FIRST STREET, LIMON, CO, 80828 |
Administrator’s telephone number |
7197752367 |
Signature of
Role |
Plan administrator |
Date |
2014-07-22 |
Name of individual signing |
MORGAN HONEA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-22 |
Name of individual signing |
MORGAN HONEA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLAINS MEDICAL CENTER 403(B) PLAN
|
2012
|
841125934
|
2013-08-01
|
PLAINS MEDICAL CENTER, INC.
|
74
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-10-18
|
Business code |
621111
|
Sponsor’s telephone number |
7197752367
|
Plan sponsor’s
address |
820 FIRST STREET, LIMON, CO, 80828
|
Plan administrator’s name and address
Administrator’s EIN |
841125934 |
Plan administrator’s name |
PLAINS MEDICAL CENTER, INC. |
Plan administrator’s
address |
820 FIRST STREET, LIMON, CO, 80828 |
Administrator’s telephone number |
7197752367 |
Signature of
Role |
Plan administrator |
Date |
2013-08-01 |
Name of individual signing |
MORGAN HONEA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-01 |
Name of individual signing |
MORGAN HONEA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLAINS MEDICAL CENTER 403(B) PLAN
|
2011
|
841125934
|
2012-07-31
|
PLAINS MEDICAL CENTER, INC.
|
79
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-10-18
|
Business code |
621111
|
Sponsor’s telephone number |
7197752367
|
Plan sponsor’s
address |
820 FIRST STREET, LIMON, CO, 80828
|
Plan administrator’s name and address
Administrator’s EIN |
841125934 |
Plan administrator’s name |
PLAINS MEDICAL CENTER, INC. |
Plan administrator’s
address |
820 FIRST STREET, LIMON, CO, 80828 |
Administrator’s telephone number |
7197752367 |
Signature of
Role |
Plan administrator |
Date |
2012-07-31 |
Name of individual signing |
MORGAN HONEA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLAINS MEDICAL CENTER 403(B) PLAN
|
2010
|
841125934
|
2011-09-19
|
PLAINS MEDICAL CENTER
|
85
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-10-18
|
Business code |
621111
|
Sponsor’s telephone number |
7197752367
|
Plan sponsor’s
address |
820 FIRST STREET, LIMON, CO, 80828
|
Plan administrator’s name and address
Administrator’s EIN |
841125934 |
Plan administrator’s name |
PLAINS MEDICAL CENTER |
Plan administrator’s
address |
820 FIRST STREET, LIMON, CO, 80828 |
Administrator’s telephone number |
7197752367 |
Signature of
Role |
Plan administrator |
Date |
2011-09-19 |
Name of individual signing |
MORGAN HONEA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|