FOREST PARK HEALTHCARE SERVICES, LC RETIREMENT PL 401k Plan overview

FOREST PARK HEALTHCARE SERVICES, LC RETIREMENT PL Benefits

401k Sponsoring company profile

Company Name:	FOREST PARK HEALTHCARE SERVICES, LC
Employer identification number (EIN):	562551492
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	RICKY S. MOFSON	2014-12-29	RICKY S. MOFSON	2014-12-29
001	2013-01-01	RICKY S. MOFSEN	2014-03-06	RICKY S. MOFSEN	2014-03-06
001	2012-01-01	RICKY S. MOFSEN	2013-03-27	RICKY S. MOFSEN	2013-03-27
001	2011-01-01	RICKY S. MOFSEN	2012-02-08	RICKY S. MOFSEN	2012-02-08
001	2010-01-01	RICKY S. MOFSEN	2011-03-30	RICKY S. MOFSEN	2011-03-30

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• FOREST PARK HOSPITAL MEDICAL INSURANCE PLAN [EIN = 201872697]
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