ADVANTAGEHEALTH MEDICAL SERVICES, P.C. EMPLOYEES' DEFINED BENEFIT PENSION PLAN FOR FORMER IMAST EMPLOYEES
|
2014
|
160743163
|
2015-01-28
|
ST. JOSEPH'S HOSPITAL
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2011-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
6077371518
|
Plan sponsor’s
address |
555 ST. JOSEPH'S BLVD., ELMIRA, NY, 14902
|
Signature of
Role |
Plan administrator |
Date |
2015-01-28 |
Name of individual signing |
RONALD KINTZ |
|
|
ST. JOSEPH'S HOSPITAL FRINGE AND WELFARE BENEFITS PLAN
|
2013
|
160743163
|
2014-10-15
|
ST. JOSEPH'S HOSPITAL
|
550
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1994-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
6077336541
|
Plan sponsor’s mailing address |
555 ST. JOSEPH'S BLVD., ELMIRA, NY, 14901
|
Plan sponsor’s
address |
555 ST. JOSEPH'S BLVD., ELMIRA, NY, 14901
|
Number of participants as of the end of the plan year
Active participants |
490 |
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 |
2014-10-07 |
Name of individual signing |
RONALD KINTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-07 |
Name of individual signing |
RONALD KINTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANTAGEHEALTH MEDICAL SERVICES, P.C. EMPLOYEES' DEFINED BENEFIT PENSION PLAN FOR FORMER IMAST EMPLOYEES
|
2013
|
160743163
|
2014-06-30
|
ST. JOSEPH'S HOSPITAL
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2011-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
6077371518
|
Plan sponsor’s
address |
555 ST. JOSEPH'S BLVD., ELMIRA, NY, 14902
|
Signature of
Role |
Plan administrator |
Date |
2014-06-30 |
Name of individual signing |
RONALD KINTZ |
|
|
ST. JOSEPH'S HOSPITAL FRINGE & WELFARE BENEFITS PLAN
|
2012
|
160743163
|
2013-10-10
|
ST. JOSEPH'S HOSPITAL
|
621
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1994-01-01
|
Business code |
622000
|
Plan sponsor’s mailing address |
555 ST. JOSEPH'S BLVD., ELMIRA, NY, 14901
|
Plan sponsor’s
address |
555 ST. JOSEPH'S BLVD., ELMIRA, NY, 14901
|
Number of participants as of the end of the plan year
Active participants |
550 |
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 that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
RONALD KINTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-10 |
Name of individual signing |
RONALD KINTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. JOSEPH'S HOSPITAL FRINGE AND WELFARE BENEFITS PLAN
|
2011
|
160743163
|
2012-10-05
|
ST. JOSEPH'S HOSPITAL
|
590
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1994-01-01
|
Business code |
622000
|
Plan sponsor’s mailing address |
555 ST. JOSEPH'S BLVD, ELMIRA, NY, 14901
|
Plan sponsor’s
address |
555 ST. JOSEPH'S BLVD, ELMIRA, NY, 14901
|
Plan administrator’s name and address
Administrator’s EIN |
160743163 |
Plan administrator’s name |
ST. JOSEPH'S HOSPITAL |
Plan administrator’s
address |
555 ST. JOSEPH'S BLVD, ELMIRA, NY, 14901 |
Number of participants as of the end of the plan year
Active participants |
621 |
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 |
2012-10-05 |
Name of individual signing |
RONALD KINTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. JOSEPH'S HOSPITAL FRINGE AND WELFARE BENEFITS PLAN
|
2010
|
160743163
|
2011-07-14
|
ST. JOSEPH'S HOSPITAL
|
632
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1994-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
6077336541
|
Plan sponsor’s mailing address |
555 ST. JOSEPH'S BLVD., ELMIRA, NY, 14901
|
Plan sponsor’s
address |
555 ST. JOSEPH'S BLVD., ELMIRA, NY, 14901
|
Plan administrator’s name and address
Administrator’s EIN |
160743163 |
Plan administrator’s name |
ST. JOSEPH'S HOSPITAL |
Plan administrator’s
address |
555 ST. JOSEPH'S BLVD., ELMIRA, NY, 14901 |
Administrator’s telephone number |
6077336541 |
Number of participants as of the end of the plan year
Active participants |
590 |
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 |
2011-07-14 |
Name of individual signing |
JOSEPH BRAUNSCHEIDEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|