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| Plan Name | NORTHEAST ARKANSAS CLINIC HEALTH AND DENTAL BENEFIT TRUST |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NORTHEAST ARKANSAS CLINIC, P.A. |
| Employer identification number (EIN): | 710833213 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2010-01-01 | ANGIE CARLTON | |||
| 501 | 2009-01-01 | ERROL DAVIS |
| Measure | Date | Value |
|---|---|---|
| 2010: NORTHEAST ARKANSAS CLINIC HEALTH AND DENTAL BENEFIT TRUST 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-01-01 | 404 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 381 |
| Total of all active and inactive participants | 2010-01-01 | 381 |
| Total participants | 2010-01-01 | 381 |
| 2009: NORTHEAST ARKANSAS CLINIC HEALTH AND DENTAL BENEFIT TRUST 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 383 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 404 |
| Total of all active and inactive participants | 2009-01-01 | 404 |
| Total participants | 2009-01-01 | 404 |
| 2010: NORTHEAST ARKANSAS CLINIC HEALTH AND DENTAL BENEFIT TRUST 2010 form 5500 responses | ||
|---|---|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: NORTHEAST ARKANSAS CLINIC HEALTH AND DENTAL BENEFIT TRUST 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
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