ESCAMBIA COMMUNITY CLINICS INC WELFARE BENEFITS PLAN
|
2018
|
593105246
|
2019-07-29
|
ESCAMBIA COMMUNITY CLINICS INC
|
227
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8504364630
|
Plan sponsor’s mailing address |
14 WEST JORDAN STREET, PENSACOLA, FL, 325011735
|
Plan sponsor’s
address |
14 WEST JORDAN STREET, PENSACOLA, FL, 325011735
|
Number of participants as of the end of the plan year
Active participants |
270 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-07-29 |
Name of individual signing |
WENDY HOEFLICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ESCAMBIA COMMUNITY CLINICS INC WELFARE BENEFITS PLAN
|
2017
|
593105246
|
2018-07-25
|
ESCAMBIA COMMUNITY CLINICS INC
|
195
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8504364630
|
Plan sponsor’s mailing address |
14 WEST JORDAN STREET, PENSACOLA, FL, 325011735
|
Plan sponsor’s
address |
14 WEST JORDAN STREET, PENSACOLA, FL, 325011735
|
Number of participants as of the end of the plan year
Active participants |
227 |
Retired or separated participants receiving
benefits |
7 |
Other
retired or separated participants entitled to future benefits |
0 |
|
ESCAMBIA COMMUNITY CLINICS INC WELFARE BENEFITS PLAN
|
2016
|
593105246
|
2017-07-26
|
ESCAMBIA COMMUNITY CLINICS INC
|
156
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8504364630
|
Plan sponsor’s mailing address |
14 WEST JORDAN STREET, PENSACOLA, FL, 325011735
|
Plan sponsor’s
address |
14 WEST JORDAN STREET, PENSACOLA, FL, 325011735
|
Number of participants as of the end of the plan year
Active participants |
193 |
Retired or separated participants receiving
benefits |
5 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-26 |
Name of individual signing |
WENDY HOEFLICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ESCAMBIA COMMUNITY CLINICS INC WELFARE BENEFITS PLAN
|
2015
|
593105246
|
2016-07-29
|
ESCAMBIA COMMUNITY CLINICS INC
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8504364630
|
Plan sponsor’s mailing address |
14 WEST JORDAN STREET, PENSACOLA, FL, 32501
|
Plan sponsor’s
address |
14 WEST JORDAN STREET, PENSACOLA, FL, 32501
|
Number of participants as of the end of the plan year
Active participants |
147 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-07-29 |
Name of individual signing |
WENDY HOEFLICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ESCAMBIA COMMUNITY CLINICS INC WELFARE BENEFITS PLAN
|
2014
|
593105246
|
2015-07-30
|
ESCAMBIA COMMUNITY CLINICS INC
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8504364630
|
Plan sponsor’s mailing address |
14 WEST JORDAN STREET, PENSACOLA, FL, 32501
|
Plan sponsor’s
address |
14 WEST JORDAN STREET, PENSACOLA, FL, 32501
|
Number of participants as of the end of the plan year
Active participants |
109 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-30 |
Name of individual signing |
WENDY HOEFLICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ESCAMBIA COMMUNITY CLINICS INC
|
2013
|
593105246
|
2014-05-22
|
ESCAMBIA COMMUNITY CLINICS INC
|
102
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8504364630
|
Plan sponsor’s mailing address |
2200 NORTH PALAFOX STREET, PENSACOLA, FL, 32501
|
Plan sponsor’s
address |
2200 NORTH PALAFOX STREET, PENSACOLA, FL, 32501
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-05-22 |
Name of individual signing |
DONALD TURNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ESCAMBIA COMMUNITY CLINICS, INC. RETIREMENT PLAN
|
2011
|
593105246
|
2013-10-03
|
ESCAMBIA COMMUNITY CLINICS, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-02-01
|
Business code |
621498
|
Sponsor’s telephone number |
8504364630
|
Plan sponsor’s
address |
2200 NORTH PALAFOX ST, PENACOLA, FL, 32501
|
Plan administrator’s name and address
Administrator’s EIN |
593105246 |
Plan administrator’s name |
ESCAMBIA COMMUNITY CLINICS, INC. |
Plan administrator’s
address |
2200 NORTH PALAFOX ST, PENACOLA, FL, 32501 |
Administrator’s telephone number |
8504364630 |
Signature of
Role |
Plan administrator |
Date |
2013-10-03 |
Name of individual signing |
DONALD TURNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ESCAMBIA COMMUNITY CLINICS, INC. RETIREMENT PLAN
|
2011
|
593105246
|
2013-10-03
|
ESCAMBIA COMMUNITY CLINICS, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-02-01
|
Business code |
621498
|
Sponsor’s telephone number |
8504364630
|
Plan sponsor’s
address |
2200 NORTH PALAFOX ST, PENACOLA, FL, 32501
|
Plan administrator’s name and address
Administrator’s EIN |
593105246 |
Plan administrator’s name |
ESCAMBIA COMMUNITY CLINICS, INC. |
Plan administrator’s
address |
2200 NORTH PALAFOX ST, PENACOLA, FL, 32501 |
Administrator’s telephone number |
8504364630 |
Signature of
Role |
Plan administrator |
Date |
2013-10-03 |
Name of individual signing |
DONALD TURNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ESCAMBIA COMMUNITY CLINICS, INC. RETIREMENT PLAN
|
2011
|
593105246
|
2013-10-03
|
ESCAMBIA COMMUNITY CLINICS, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-02-01
|
Business code |
621498
|
Sponsor’s telephone number |
8504364630
|
Plan sponsor’s
address |
2200 NORTH PALAFOX ST, PENACOLA, FL, 32501
|
Plan administrator’s name and address
Administrator’s EIN |
593105246 |
Plan administrator’s name |
ESCAMBIA COMMUNITY CLINICS, INC. |
Plan administrator’s
address |
2200 NORTH PALAFOX ST, PENACOLA, FL, 32501 |
Administrator’s telephone number |
8504364630 |
Signature of
Role |
Plan administrator |
Date |
2013-10-03 |
Name of individual signing |
DONALD TURNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ESCAMBIA COMMUNITY CLINICS, INC. RETIREMENT PLAN
|
2011
|
593105246
|
2013-10-03
|
ESCAMBIA COMMUNITY CLINICS, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-02-01
|
Business code |
621498
|
Sponsor’s telephone number |
8504364630
|
Plan sponsor’s
address |
2200 NORTH PALAFOX ST, PENACOLA, FL, 32501
|
Plan administrator’s name and address
Administrator’s EIN |
593105246 |
Plan administrator’s name |
ESCAMBIA COMMUNITY CLINICS, INC. |
Plan administrator’s
address |
2200 NORTH PALAFOX ST, PENACOLA, FL, 32501 |
Administrator’s telephone number |
8504364630 |
Signature of
Role |
Plan administrator |
Date |
2013-10-03 |
Name of individual signing |
DONALD TURNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|