| Plan Name | FIXED TAX DEFERRED ANNUITY PLAN |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | SANFORD MEDICAL CENTER |
| Employer identification number (EIN): | 460227855 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2012-10-01 | EVAN BURKETT | |||
| 002 | 2011-10-01 | EVAN BURKETT | |||
| 002 | 2010-10-01 | EVAN BURKETT | |||
| 002 | 2009-10-01 | EVAN BURKETT |
| Measure | Date | Value |
|---|---|---|
| 2012: FIXED TAX DEFERRED ANNUITY PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-10-01 | 1 |
| Number of retired or separated participants receiving benefits | 2012-10-01 | 0 |
| Total of all active and inactive participants | 2012-10-01 | 0 |
| Total participants | 2012-10-01 | 0 |
| 2011: FIXED TAX DEFERRED ANNUITY PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-10-01 | 1 |
| Number of retired or separated participants receiving benefits | 2011-10-01 | 1 |
| Total of all active and inactive participants | 2011-10-01 | 1 |
| Total participants | 2011-10-01 | 1 |
| 2010: FIXED TAX DEFERRED ANNUITY PLAN 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-10-01 | 1 |
| Number of retired or separated participants receiving benefits | 2010-10-01 | 1 |
| Total of all active and inactive participants | 2010-10-01 | 1 |
| Total participants | 2010-10-01 | 1 |
| 2009: FIXED TAX DEFERRED ANNUITY PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-10-01 | 1 |
| Number of retired or separated participants receiving benefits | 2009-10-01 | 1 |
| Total of all active and inactive participants | 2009-10-01 | 1 |
| Total participants | 2009-10-01 | 1 |
| 2012: FIXED TAX DEFERRED ANNUITY PLAN 2012 form 5500 responses | ||
|---|---|---|
| 2012-10-01 | Type of plan entity | Single employer plan |
| 2012-10-01 | This submission is the final filing | Yes |
| 2012-10-01 | Plan funding arrangement – Insurance | Yes |
| 2012-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: FIXED TAX DEFERRED ANNUITY PLAN 2011 form 5500 responses | ||
| 2011-10-01 | Type of plan entity | Single employer plan |
| 2011-10-01 | Plan funding arrangement – Insurance | Yes |
| 2011-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: FIXED TAX DEFERRED ANNUITY PLAN 2010 form 5500 responses | ||
| 2010-10-01 | Type of plan entity | Single employer plan |
| 2010-10-01 | Plan funding arrangement – Insurance | Yes |
| 2010-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: FIXED TAX DEFERRED ANNUITY PLAN 2009 form 5500 responses | ||
| 2009-10-01 | Type of plan entity | Single employer plan |
| 2009-10-01 | This submission is the final filing | No |
| 2009-10-01 | Plan funding arrangement – Insurance | Yes |
| 2009-10-01 | Plan benefit arrangement – Insurance | Yes |