401k Plan data: TRI-COUNTY MENTAL HEALTH AND COUNSELING SERVICES, INC. VISION PLAN plan

TRI-COUNTY MENTAL HEALTH AND COUNSELING SERVICES, INC. VISION PLAN 401k Plan overview

Plan Name	TRI-COUNTY MENTAL HEALTH AND COUNSELING SERVICES, INC. VISION PLAN
Plan identification number	504

TRI-COUNTY MENTAL HEALTH AND COUNSELING SERVICES, INC. VISION PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Vision

401k Sponsoring company profile

TRI-COUNTY MENTAL HEALTH & COUNSELING SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name: TRI-COUNTY MENTAL HEALTH & COUNSELING SERVICES, INC.

Employer identification number (EIN): 310860366

NAIC Classification: 621112
NAIC Description: Offices of Physicians, Mental Health Specialists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRI-COUNTY MENTAL HEALTH AND COUNSELING SERVICES, INC. VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2012-04-01 GEORGE P. WEIGLY
504 2011-04-01 GEORGE P. WEIGLY
504 2009-04-01 GEORGE P. WEIGLY

Plan id#	Filing Submission Date	Name of Administrator
504	2012-04-01	GEORGE P. WEIGLY
504	2011-04-01	GEORGE P. WEIGLY
504	2009-04-01	GEORGE P. WEIGLY

Plan Statistics for TRI-COUNTY MENTAL HEALTH AND COUNSELING SERVICES, INC. VISION PLAN

401k plan membership statisitcs for TRI-COUNTY MENTAL HEALTH AND COUNSELING SERVICES, INC. VISION PLAN

Measure Date Value
2012: TRI-COUNTY MENTAL HEALTH AND COUNSELING SERVICES, INC. VISION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-04-01 132
Total number of active participants reported on line 7a of the Form 5500 2012-04-01 148
Number of retired or separated participants receiving benefits 2012-04-01 1
Number of other retired or separated participants entitled to future benefits 2012-04-01 0
Total of all active and inactive participants 2012-04-01 149
2011: TRI-COUNTY MENTAL HEALTH AND COUNSELING SERVICES, INC. VISION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-04-01 137
Total number of active participants reported on line 7a of the Form 5500 2011-04-01 130
Number of retired or separated participants receiving benefits 2011-04-01 2
Number of other retired or separated participants entitled to future benefits 2011-04-01 0
Total of all active and inactive participants 2011-04-01 132
2009: TRI-COUNTY MENTAL HEALTH AND COUNSELING SERVICES, INC. VISION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-04-01 127
Total number of active participants reported on line 7a of the Form 5500 2009-04-01 140
Number of retired or separated participants receiving benefits 2009-04-01 0
Number of other retired or separated participants entitled to future benefits 2009-04-01 0
Total of all active and inactive participants 2009-04-01 140

Measure	Date	Value
2012: TRI-COUNTY MENTAL HEALTH AND COUNSELING SERVICES, INC. VISION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-04-01	132
Total number of active participants reported on line 7a of the Form 5500	2012-04-01	148
Number of retired or separated participants receiving benefits	2012-04-01	1
Number of other retired or separated participants entitled to future benefits	2012-04-01	0
Total of all active and inactive participants	2012-04-01	149
2011: TRI-COUNTY MENTAL HEALTH AND COUNSELING SERVICES, INC. VISION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-04-01	137
Total number of active participants reported on line 7a of the Form 5500	2011-04-01	130
Number of retired or separated participants receiving benefits	2011-04-01	2
Number of other retired or separated participants entitled to future benefits	2011-04-01	0
Total of all active and inactive participants	2011-04-01	132
2009: TRI-COUNTY MENTAL HEALTH AND COUNSELING SERVICES, INC. VISION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-04-01	127
Total number of active participants reported on line 7a of the Form 5500	2009-04-01	140
Number of retired or separated participants receiving benefits	2009-04-01	0
Number of other retired or separated participants entitled to future benefits	2009-04-01	0
Total of all active and inactive participants	2009-04-01	140

Form 5500 Responses for TRI-COUNTY MENTAL HEALTH AND COUNSELING SERVICES, INC. VISION PLAN

2012: TRI-COUNTY MENTAL HEALTH AND COUNSELING SERVICES, INC. VISION PLAN 2012 form 5500 responses
2012-04-01	Type of plan entity	Single employer plan
2012-04-01	Submission has been amended	No
2012-04-01	This submission is the final filing	No
2012-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-04-01	Plan is a collectively bargained plan	No
2012-04-01	Plan funding arrangement – Insurance	Yes
2012-04-01	Plan benefit arrangement – Insurance	Yes
2011: TRI-COUNTY MENTAL HEALTH AND COUNSELING SERVICES, INC. VISION PLAN 2011 form 5500 responses
2011-04-01	Type of plan entity	Single employer plan
2011-04-01	Submission has been amended	No
2011-04-01	This submission is the final filing	No
2011-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-04-01	Plan is a collectively bargained plan	No
2011-04-01	Plan funding arrangement – Insurance	Yes
2011-04-01	Plan benefit arrangement – Insurance	Yes
2009: TRI-COUNTY MENTAL HEALTH AND COUNSELING SERVICES, INC. VISION PLAN 2009 form 5500 responses
2009-04-01	Type of plan entity	Single employer plan
2009-04-01	Submission has been amended	No
2009-04-01	This submission is the final filing	No
2009-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-04-01	Plan is a collectively bargained plan	No
2009-04-01	Plan funding arrangement – Insurance	Yes
2009-04-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	TRI-COUNTY MENTAL HEALTH & COUNSELING SERVICES, INC.
Employer identification number (EIN):	310860366
NAIC Classification:	621112
NAIC Description:	Offices of Physicians, Mental Health Specialists