| Plan Name | POLK COUNTY ADULT HEALTH CARE 401K PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | POLK COUNTY ADULT HEALTH CARE |
| Employer identification number (EIN): | 200550570 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2019-01-01 | MARIA PONGOS | 2020-06-30 | ||
| 001 | 2018-01-01 | MARIA PONGOS | 2019-07-18 | ||
| 001 | 2017-01-01 | MARIA PONGOS | 2018-07-12 |