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| Plan Name | COMMUNITY HEALTH CENTERS, INC. EYECARE |
| Plan identification number | 508 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | PEAK VISTA COMMUNITY HEALTH CENTERS |
| Employer identification number (EIN): | 840617567 |
| NAIC Classification: | 621112 |
| NAIC Description: | Offices of Physicians, Mental Health Specialists |
Additional information about PEAK VISTA COMMUNITY HEALTH CENTERS
| Jurisdiction of Incorporation: | Colorado Department of State |
| Incorporation Date: | 1988-05-06 |
| Company Identification Number: | 19881043278 |
| Legal Registered Office Address: |
3205 N ACADEMY BLVD SUITE 130 COLORADO SPRINGS United States of America (USA) 80917 |
More information about PEAK VISTA COMMUNITY HEALTH CENTERS
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 508 | 2015-01-01 | BRADY FITZWATER | |||
| 508 | 2015-01-01 | ||||
| 508 | 2014-01-01 | BRADY FITZWATER | |||
| 508 | 2013-01-01 | BRADY FITZWATER | |||
| 508 | 2012-01-01 | BRADY FITZWATER | |||
| 508 | 2011-01-01 | KATIE LUTZE | |||
| 508 | 2009-01-01 | GINA WISEMAN |
| Measure | Date | Value |
|---|---|---|
| 2015: COMMUNITY HEALTH CENTERS, INC. EYECARE 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-01-01 | 647 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 324 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 12 |
| Total of all active and inactive participants | 2015-01-01 | 337 |
| 2014: COMMUNITY HEALTH CENTERS, INC. EYECARE 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-01-01 | 625 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 647 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 0 |
| Total of all active and inactive participants | 2014-01-01 | 647 |
| 2013: COMMUNITY HEALTH CENTERS, INC. EYECARE 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-01-01 | 597 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 625 |
| Total of all active and inactive participants | 2013-01-01 | 625 |
| Total participants | 2013-01-01 | 625 |
| 2012: COMMUNITY HEALTH CENTERS, INC. EYECARE 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-01-01 | 533 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 597 |
| Total of all active and inactive participants | 2012-01-01 | 597 |
| Total participants | 2012-01-01 | 597 |
| 2011: COMMUNITY HEALTH CENTERS, INC. EYECARE 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-01-01 | 458 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 533 |
| Total of all active and inactive participants | 2011-01-01 | 533 |
| Total participants | 2011-01-01 | 533 |
| 2009: COMMUNITY HEALTH CENTERS, INC. EYECARE 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 385 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 452 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 4 |
| Total of all active and inactive participants | 2009-01-01 | 456 |
| Total participants | 2009-01-01 | 456 |
| 2015: COMMUNITY HEALTH CENTERS, INC. EYECARE 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 – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: COMMUNITY HEALTH CENTERS, INC. EYECARE 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 – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: COMMUNITY HEALTH CENTERS, INC. EYECARE 2013 form 5500 responses | ||
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: COMMUNITY HEALTH CENTERS, INC. EYECARE 2012 form 5500 responses | ||
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: COMMUNITY HEALTH CENTERS, INC. EYECARE 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | Yes |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: COMMUNITY HEALTH CENTERS, INC. EYECARE 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 benefit arrangement – Insurance | Yes |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 9930561 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 9706987 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 9706987 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 9706987 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 9706987 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 9706987 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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