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| Plan Name | STAFF SEVERANCE BENEFIT PLAN |
| Plan identification number | 515 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CHILDREN'S HOSPITAL COLORADO |
| Employer identification number (EIN): | 840166760 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
Additional information about CHILDREN'S HOSPITAL COLORADO
| Jurisdiction of Incorporation: | Colorado Department of State |
| Incorporation Date: | 1908-05-09 |
| Company Identification Number: | 19871047147 |
| Legal Registered Office Address: |
13123 East 16th Avenue B545 Aurora United States of America (USA) 80045 |
More information about CHILDREN'S HOSPITAL COLORADO
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 515 | 2021-01-01 | ||||
| 515 | 2021-01-01 | ||||
| 515 | 2021-01-01 | BETSY RODRIGUEZ |
| 2021: STAFF SEVERANCE BENEFIT PLAN 2021 form 5500 responses | ||
|---|---|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | First time form 5500 has been submitted | Yes |
| 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 |
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