401k Plan data: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN plan

EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 401k Plan overview

Plan Name	EMPLOYEE SAFETY PROGRAM BENEFIT PLAN
Plan identification number	503

EMPLOYEE SAFETY PROGRAM BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Temporary disability (accident and sickness) Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

SHANNON MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name: SHANNON MEDICAL CENTER

Employer identification number (EIN): 752559845

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about SHANNON MEDICAL CENTER

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1994-08-24

Company Identification Number: 0132403201

Legal Registered Office Address: PO BOX 1879

SAN ANGELO
United States of America (USA)
76902

More information about SHANNON MEDICAL CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE SAFETY PROGRAM BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2022-01-01
503 2021-01-01
503 2020-01-01
503 2019-01-01
503 2018-01-01 VICKY DICLEMENTE
503 2017-01-01 VICKY DICLEMENTE
503 2016-01-01 VICKY DICLEMENTE
503 2015-01-01 VICKY DICLEMENTE
503 2014-01-01 VICKY DICLEMENTE
503 2013-01-01 VICKY DICLEMENTE
503 2012-01-01 VICKY DICLEMENTE
503 2011-01-01 VICKY DICLEMENTE

Plan Statistics for EMPLOYEE SAFETY PROGRAM BENEFIT PLAN

401k plan membership statisitcs for EMPLOYEE SAFETY PROGRAM BENEFIT PLAN

Measure Date Value
2022: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 3,278
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 3,768
Total of all active and inactive participants 2022-01-01 3,768
Total participants 2022-01-01 3,768
2021: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 3,380
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 3,278
Total of all active and inactive participants 2021-01-01 3,278
Total participants 2021-01-01 3,278
2020: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 3,166
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 338
Total of all active and inactive participants 2020-01-01 338
Total participants 2020-01-01 338
2019: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 3,017
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 3,166
Total of all active and inactive participants 2019-01-01 3,166
Total participants 2019-01-01 3,166
2018: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 2,691
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 3,017
Total of all active and inactive participants 2018-01-01 3,017
Total participants 2018-01-01 3,017
2017: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 2,658
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 2,691
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 2,691
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 2,691
2016: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 2,594
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 2,658
Total of all active and inactive participants 2016-01-01 2,658
Total participants 2016-01-01 2,658
2015: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,696
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 2,594
Total of all active and inactive participants 2015-01-01 2,594
Total participants 2015-01-01 2,594
2014: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,623
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,696
Total of all active and inactive participants 2014-01-01 1,696
Total participants 2014-01-01 1,696
2013: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,687
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,623
Total of all active and inactive participants 2013-01-01 1,623
Total participants 2013-01-01 1,623
2012: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,794
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,687
Total of all active and inactive participants 2012-01-01 1,687
Total participants 2012-01-01 1,687
2011: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,718
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,794
Total of all active and inactive participants 2011-01-01 1,794
Total participants 2011-01-01 1,794

Measure	Date	Value
2022: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	3,278
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	3,768
Total of all active and inactive participants	2022-01-01	3,768
Total participants	2022-01-01	3,768
2021: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	3,380
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	3,278
Total of all active and inactive participants	2021-01-01	3,278
Total participants	2021-01-01	3,278
2020: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	3,166
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	338
Total of all active and inactive participants	2020-01-01	338
Total participants	2020-01-01	338
2019: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	3,017
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	3,166
Total of all active and inactive participants	2019-01-01	3,166
Total participants	2019-01-01	3,166
2018: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	2,691
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	3,017
Total of all active and inactive participants	2018-01-01	3,017
Total participants	2018-01-01	3,017
2017: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	2,658
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	2,691
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	2,691
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	2,691
2016: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	2,594
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	2,658
Total of all active and inactive participants	2016-01-01	2,658
Total participants	2016-01-01	2,658
2015: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,696
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	2,594
Total of all active and inactive participants	2015-01-01	2,594
Total participants	2015-01-01	2,594
2014: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,623
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,696
Total of all active and inactive participants	2014-01-01	1,696
Total participants	2014-01-01	1,696
2013: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,687
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,623
Total of all active and inactive participants	2013-01-01	1,623
Total participants	2013-01-01	1,623
2012: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,794
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,687
Total of all active and inactive participants	2012-01-01	1,687
Total participants	2012-01-01	1,687
2011: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,718
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,794
Total of all active and inactive participants	2011-01-01	1,794
Total participants	2011-01-01	1,794

Form 5500 Responses for EMPLOYEE SAFETY PROGRAM BENEFIT PLAN

2022: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	SHANNON MEDICAL CENTER
Employer identification number (EIN):	752559845
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1994-08-24
Company Identification Number:	0132403201
Legal Registered Office Address:	PO BOX 1879 SAN ANGELO United States of America (USA) 76902