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| Plan Name | UNIVERSITY PEDIATRIC FOUNDATION, INC. COMPANION LIFE & SHORT TERM DISABILITY |
| Plan identification number | 509 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | UNIVERSITY PEDIATRICS FOUNDATION INC |
| Employer identification number (EIN): | 611013739 |
| NAIC Classification: | 611000 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 509 | 2012-05-01 | GARY SOUTHARD | GARY SOUTHARD | 2013-11-29 | |
| 509 | 2011-05-01 | GARY SOUTHARD | GARY SOUTHARD | 2013-02-15 |
| Measure | Date | Value |
|---|---|---|
| 2012: UNIVERSITY PEDIATRIC FOUNDATION, INC. COMPANION LIFE & SHORT TERM DISABILITY 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-05-01 | 27 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-05-01 | 0 |
| Number of retired or separated participants receiving benefits | 2012-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-05-01 | 0 |
| Total of all active and inactive participants | 2012-05-01 | 0 |
| 2011: UNIVERSITY PEDIATRIC FOUNDATION, INC. COMPANION LIFE & SHORT TERM DISABILITY 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-05-01 | 23 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-05-01 | 27 |
| Number of retired or separated participants receiving benefits | 2011-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-05-01 | 0 |
| Total of all active and inactive participants | 2011-05-01 | 27 |
| 2012: UNIVERSITY PEDIATRIC FOUNDATION, INC. COMPANION LIFE & SHORT TERM DISABILITY 2012 form 5500 responses | ||
|---|---|---|
| 2012-05-01 | Type of plan entity | Single employer plan |
| 2012-05-01 | This submission is the final filing | Yes |
| 2012-05-01 | Plan funding arrangement – Insurance | Yes |
| 2012-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: UNIVERSITY PEDIATRIC FOUNDATION, INC. COMPANION LIFE & SHORT TERM DISABILITY 2011 form 5500 responses | ||
| 2011-05-01 | Type of plan entity | Single employer plan |
| 2011-05-01 | First time form 5500 has been submitted | Yes |
| 2011-05-01 | Plan funding arrangement – Insurance | Yes |
| 2011-05-01 | Plan benefit arrangement – Insurance | Yes |
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