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| Plan Name | BASIC LIFE PLAN |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | WHOLE FAMILY HEALTH CENTER |
| Employer identification number (EIN): | 650715258 |
| NAIC Classification: | 621498 |
| NAIC Description: | All Other Outpatient Care Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2023-03-01 | THERESA MALONE | 2024-10-11 |
| Measure | Date | Value |
|---|---|---|
| 2023: BASIC LIFE PLAN 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-03-01 | 127 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-03-01 | 154 |
| Number of retired or separated participants receiving benefits | 2023-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2023-03-01 | 0 |
| Total of all active and inactive participants | 2023-03-01 | 154 |
| Number of employers contributing to the scheme | 2023-03-01 | 0 |
| 2023: BASIC LIFE PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-03-01 | Type of plan entity | Single employer plan |
| 2023-03-01 | First time form 5500 has been submitted | Yes |
| 2023-03-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-03-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
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