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| Plan Name | GROUP DENTAL PLAN - EBS RMSCO, INC./TPA |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ADIRONDACK MEDICAL CENTER DBA ADIRONDACK HEALTH |
| Employer identification number (EIN): | 141731786 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
Additional information about ADIRONDACK MEDICAL CENTER DBA ADIRONDACK HEALTH
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 1990-12-28 |
| Company Identification Number: | 1498264 |
| Legal Registered Office Address: |
PO BOX 471 Franklin SARANAC LAKE United States of America (USA) 129830471 |
More information about ADIRONDACK MEDICAL CENTER DBA ADIRONDACK HEALTH
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2012-01-01 | TARA SMITH | TARA SMITH | 2013-07-19 | |
| 503 | 2011-01-01 | TARA SMITH | MADENA DUCHEMIN | 2012-07-27 | |
| 503 | 2010-01-01 | TARA SMITH | MADENA DUCHEMIN | 2011-10-14 |
| 2012: GROUP DENTAL PLAN - EBS RMSCO, INC./TPA 2012 form 5500 responses | ||
|---|---|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: GROUP DENTAL PLAN - EBS RMSCO, INC./TPA 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2011-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2010: GROUP DENTAL PLAN - EBS RMSCO, INC./TPA 2010 form 5500 responses | ||
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | First time form 5500 has been submitted | Yes |
| 2010-01-01 | Submission has been amended | Yes |
| 2010-01-01 | This submission is the final filing | No |
| 2010-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-01-01 | Plan is a collectively bargained plan | No |
| 2010-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
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