| Plan Name | WEST RIVER HEALTH SERVICES AND SUBSIDIARIES TAX DEFERRED ANNUITY |
| Plan identification number | 005 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | WEST RIVER HEALTH SERVICE FOUNDATION AND SUBSIDIARIES |
| Employer identification number (EIN): | 450411825 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 005 | 2010-01-01 | CHRISTI MILLER | 2011-08-26 | JIM LONG | 2011-08-26 |