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| Plan Name | FIXED TAX DEFERRED ANNUITY-VOLUNTARY PLAN |
| Plan identification number | 007 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | DECATUR MEMORIAL HOSPITAL |
| Employer identification number (EIN): | 370661199 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 007 | 2021-07-01 | KOREY DAVIS | 2023-01-31 | KOREY DAVIS | 2023-01-31 |
| 007 | 2020-07-01 | KOREY DAVIS | 2022-04-19 | KOREY DAVIS | 2022-04-19 |
| 007 | 2020-07-01 | KOREY DAVIS | 2022-04-15 | KOREY DAVIS | 2022-04-15 |
| 007 | 2019-07-01 | KOREY DAVIS | 2021-05-14 | KOREY DAVIS | 2021-05-14 |
| 007 | 2018-07-01 | KEVIN HORATH | 2020-07-14 | KEVIN HORATH | 2020-07-14 |
| 007 | 2017-07-01 | KEVIN HORATH | 2019-01-29 | KEVIN HORATH | 2019-01-29 |
| 007 | 2016-07-01 | KEVIN HORATH | 2018-01-31 | KEVIN HORATH | 2018-01-31 |
| 007 | 2015-07-01 | KEVIN HORATH | 2017-01-27 | KEVIN HORATH | 2017-01-27 |
| 007 | 2014-07-01 | KEVIN HORATH | 2016-02-26 | KEVIN HORATH | 2016-02-26 |
| 007 | 2013-07-01 | KEVIN HORATH | 2015-04-01 | KEVIN HORATH | 2015-04-01 |
| 007 | 2012-07-01 | KEVIN HORATH | 2014-04-04 | KEVIN HORATH | 2014-04-04 |
| 007 | 2011-07-01 | DEBORAH BRAGG | 2013-04-02 | ||
| 007 | 2010-07-01 | DEBORAH BRAGG | 2013-03-11 | ||
| 007 | 2007-07-01 | MARK GATES |
| 2007: FIXED TAX DEFERRED ANNUITY-VOLUNTARY PLAN 2007 form 5500 responses | ||
|---|---|---|
| 2007-07-01 | Type of plan entity | Single employer plan |
| 2007-07-01 | Submission has been amended | No |
| 2007-07-01 | This submission is the final filing | No |
| 2007-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2007-07-01 | Plan is a collectively bargained plan | No |
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