| Plan Name | EMPLOYEE BENEFIT PLAN OF ZIA HOSPICE |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | ZIA HOSPICE |
| Employer identification number (EIN): | 850480381 |
| NAIC Classification: | 621610 |
| NAIC Description: | Home Health Care Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2013-01-01 | SHERRI WILLIAMS | 2014-07-09 | SHERRI WILLIAMS | 2014-07-09 |
| 001 | 2012-01-01 | SHERRI WILLIAMS | 2013-06-26 | SHERRY WILLIAMS | 2013-06-26 |
| 001 | 2011-01-01 | SHERRY WILLIAMS | 2012-06-14 | SHERRY WILLIAMS | 2012-06-14 |
| 001 | 2010-01-01 | SHERRY WILLIAMS | 2011-06-17 | SHERRY WILLIAMS | 2011-06-17 |