|
PAVILION HEALTH SERVICES 401(K) PLAN
|
2014
|
592059710
|
2015-10-12
|
PAVILION HEALTH SERVICES INC.
|
1775
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1987-10-01
|
| Business code |
621498
|
| Sponsor’s telephone number |
9042024894
|
| Plan sponsor’s mailing address |
841 PRUDENTIAL DRIVE, AETNA BUILDING SUITE 640, JACKSONVILLE, FL, 32207
|
| Plan sponsor’s
address |
841 PRUDENTIAL DRIVE, AETNA BUILDING SUITE 640, JACKSONVILLE, FL, 32207
|
Number of participants as of the end of the plan year
| Active participants |
1368 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
389 |
| 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 |
1394 |
| 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 |
2015-10-12 |
| Name of individual signing |
CAMILLE COSSA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2015-10-12 |
| Name of individual signing |
CAMILLE COSSA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PAVILION HEALTH SERVICES 401(K) PLAN
|
2013
|
592059710
|
2014-10-01
|
PAVILION HEALTH SERVICES INC.
|
1734
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1987-10-01
|
| Business code |
621498
|
| Sponsor’s telephone number |
9042024894
|
| Plan sponsor’s mailing address |
841 PRUDENTIAL DR., AETNA BLDG 640, JACKSONVILLE, FL, 32207
|
| Plan sponsor’s
address |
SUITE 706, JACKSONVILLE, FL, 32207
|
Number of participants as of the end of the plan year
| Active participants |
1497 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
252 |
| 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 |
1248 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
27 |
Signature of
| Role |
Plan administrator |
| Date |
2014-10-01 |
| Name of individual signing |
CAMILLE COSSA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-10-01 |
| Name of individual signing |
CAMILLE COSSA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PAVILION HEALTH SERVICES 401(K) PLAN
|
2012
|
592059710
|
2013-10-01
|
PAVILION HEALTH SERVICES INC.
|
1320
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1987-10-01
|
| Business code |
621498
|
| Sponsor’s telephone number |
9042024894
|
| Plan sponsor’s mailing address |
841 PRUDENTIAL DR., AETNA BLDG 640, JACKSONVILLE, FL, 32207
|
| Plan sponsor’s
address |
SUITE 706, JACKSONVILLE, FL, 32207
|
Number of participants as of the end of the plan year
| Active participants |
1414 |
| Retired or separated participants receiving
benefits |
1 |
| Other
retired or separated participants entitled to future benefits |
247 |
| 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 |
1157 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
34 |
Signature of
| Role |
Plan administrator |
| Date |
2013-10-01 |
| Name of individual signing |
CAMILLE COSSA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-10-01 |
| Name of individual signing |
CAMILLE COSSA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PAVILION HEALTH SERVICES 401(K) PLAN
|
2011
|
592059710
|
2012-10-03
|
PAVILION HEALTH SERVICES INC.
|
1247
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1987-10-01
|
| Business code |
621498
|
| Sponsor’s telephone number |
9042024894
|
| Plan sponsor’s mailing address |
800 PRUDENTIAL DR., HOWARD BUILDING, JACKSONVILLE, FL, 32207
|
| Plan sponsor’s
address |
SUITE 706, JACKSONVILLE, FL, 32207
|
Plan administrator’s name and address
| Administrator’s EIN |
592059710 |
| Plan administrator’s name |
PAVILION HEALTH SERVICES INC. |
| Plan administrator’s
address |
800 PRUDENTIAL DR., HOWARD BUILDING, JACKSONVILLE, FL, 32207 |
| Administrator’s telephone number |
9042024894 |
Number of participants as of the end of the plan year
| Active participants |
1299 |
| Retired or separated participants receiving
benefits |
1 |
| Other
retired or separated participants entitled to future benefits |
86 |
| 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 |
956 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
9 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-03 |
| Name of individual signing |
CAMILLE COSSA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-10-03 |
| Name of individual signing |
CAMILLE COSSA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
