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| Plan Name | COSHOCTON COUNTY MEMORIAL HOSPITAL EXEMPT HEALTH BENEFIT PLAN |
| Plan identification number | 506 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | COSHOCTON COUNTY MEMORIAL HOSPITAL ASSOCIATION, INC. |
| Employer identification number (EIN): | 314387577 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 506 | 2011-01-01 | RICHARD K. DAVIS | |||
| 506 | 2009-01-01 | RICHARD K. DAVIS |
| Measure | Date | Value |
|---|---|---|
| 2011 : COSHOCTON COUNTY MEMORIAL HOSPITAL EXEMPT HEALTH BENEFIT PLAN 2011 401k financial data | ||
| Total income from all sources | 2011-12-31 | $0 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $0 |
| Total plan assets at end of year | 2011-12-31 | $0 |
| Total plan assets at beginning of year | 2011-12-31 | $0 |
| Net income (gross income less expenses) | 2011-12-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $0 |
| 2010 : COSHOCTON COUNTY MEMORIAL HOSPITAL EXEMPT HEALTH BENEFIT PLAN 2010 401k financial data | ||
| Total income from all sources | 2010-12-31 | $710,875 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $710,875 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $710,875 |
| Total contributions received or receivable from participants | 2010-12-31 | $110,620 |
| Net income (gross income less expenses) | 2010-12-31 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $600,255 |
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