| Plan Name | EMPLOYEE BENEFITS PLAN OF GOOD SAMARITAN AGENCY |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | THE GOOD SAMARITAN AGENCY |
| Employer identification number (EIN): | 010211507 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2010-01-01 | DEBORAH GIGUERE | 2011-08-25 | ||
| 001 | 2009-01-01 | DEBORAH GIGUERE | DEBORAH GIGUERE | 2010-08-23 |
| Measure | Date | Value |
|---|---|---|
| 2009 : EMPLOYEE BENEFITS PLAN OF GOOD SAMARITAN AGENCY 2009 401k financial data | ||
| Minimum employer required contribution for this plan year | 2009-12-31 | $11,100 |
| Amount contributed by the employer to the plan for this plan year | 2009-12-31 | $11,100 |