401k Plan data: HOSPITAL AND SURGICAL PLAN FOR EMPLOYEES OF MOSES TAYLOR HOSPITAL plan

HOSPITAL AND SURGICAL PLAN FOR EMPLOYEES OF MOSES TAYLOR HOSPITAL 401k Plan overview

Plan Name	HOSPITAL AND SURGICAL PLAN FOR EMPLOYEES OF MOSES TAYLOR HOSPITAL
Plan identification number	503

HOSPITAL AND SURGICAL PLAN FOR EMPLOYEES OF MOSES TAYLOR HOSPITAL Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision Temporary disability (accident and sickness)

401k Sponsoring company profile

MOSES TAYLOR HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: MOSES TAYLOR HOSPITAL

Employer identification number (EIN): 240795461

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOSPITAL AND SURGICAL PLAN FOR EMPLOYEES OF MOSES TAYLOR HOSPITAL

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2011-01-01 MOSES TAYLOR HOSPITAL
503 2009-01-01 PAUL GIONFRIDDO

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
503	2011-01-01	MOSES TAYLOR HOSPITAL
503	2009-01-01	PAUL GIONFRIDDO

Plan Statistics for HOSPITAL AND SURGICAL PLAN FOR EMPLOYEES OF MOSES TAYLOR HOSPITAL

401k plan membership statisitcs for HOSPITAL AND SURGICAL PLAN FOR EMPLOYEES OF MOSES TAYLOR HOSPITAL

Measure Date Value
2011: HOSPITAL AND SURGICAL PLAN FOR EMPLOYEES OF MOSES TAYLOR HOSPITAL 2011 401k membership
Total participants, beginning-of-year 2011-01-01 982
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 985
Number of retired or separated participants receiving benefits 2011-01-01 22
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 1,007
2009: HOSPITAL AND SURGICAL PLAN FOR EMPLOYEES OF MOSES TAYLOR HOSPITAL 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,033
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,066
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 1,066

Measure	Date	Value
2011: HOSPITAL AND SURGICAL PLAN FOR EMPLOYEES OF MOSES TAYLOR HOSPITAL 2011 401k membership
Total participants, beginning-of-year	2011-01-01	982
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	985
Number of retired or separated participants receiving benefits	2011-01-01	22
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	1,007
2009: HOSPITAL AND SURGICAL PLAN FOR EMPLOYEES OF MOSES TAYLOR HOSPITAL 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,033
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,066
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	1,066

Form 5500 Responses for HOSPITAL AND SURGICAL PLAN FOR EMPLOYEES OF MOSES TAYLOR HOSPITAL

2011: HOSPITAL AND SURGICAL PLAN FOR EMPLOYEES OF MOSES TAYLOR HOSPITAL 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	This submission is the final filing	Yes
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 – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: HOSPITAL AND SURGICAL PLAN FOR EMPLOYEES OF MOSES TAYLOR HOSPITAL 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	MOSES TAYLOR HOSPITAL
Employer identification number (EIN):	240795461