| Plan Name | TAX DEFERRED ANNUITY PLAN OF HEALTHY FAMILIES OF CLALLAM COUNTY |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | HEALTHY FAMILIES OF CLALLAM COUNTY |
| Employer identification number (EIN): | 910840053 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2016-01-01 | TRACY CALDWELL | 2017-03-21 | TRACY CALDWELL | 2017-03-21 |
| 001 | 2013-01-01 | HEALTHY FAMILIES OF CLALLAM COUNTY | 2014-07-23 | HEALTHY FAMILIES OF CLALLAM COUNTY | 2014-07-23 |
| 001 | 2012-01-01 | TRACY CALDWELL | 2013-07-09 | TRACY CALDWELL | 2013-07-09 |
| 001 | 2011-01-01 | TRACY CALDWELL | 2012-08-31 | TRACY CALDWELL | 2012-08-31 |
| 001 | 2010-01-01 | HEALTHY FAMILIES OF CLALLAM COUNTY | 2012-10-02 | HEALTHY FAMILIES OF CLALLAM COUNTY | 2012-10-02 |