CAFETERIA PLAN FOR THE SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP 401k Plan overview

CAFETERIA PLAN FOR THE SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP Benefits

401k Sponsoring company profile

Company Name:	SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Employer identification number (EIN):	951750445
NAIC Classification:	621112
NAIC Description:	Offices of Physicians, Mental Health Specialists

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
542	2012-01-01	HARRIET GUBERMAN
542	2012-01-01	CYNTHIA GARA
542	2011-01-01	HARRIET GUBERMAN
542	2009-01-01	HARRIET GUBERMAN

Plan Statistics for CAFETERIA PLAN FOR THE SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

Measure	Date	Value
2012: CAFETERIA PLAN FOR THE SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP 2012 401k membership
Total participants, beginning-of-year	2012-01-01	24,192
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	22,809
Number of retired or separated participants receiving benefits	2012-01-01	98
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	22,907
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	22,907
2011: CAFETERIA PLAN FOR THE SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP 2011 401k membership
Total participants, beginning-of-year	2011-01-01	551
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	24,192
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	24,192
Total participants	2011-01-01	24,192
2009: CAFETERIA PLAN FOR THE SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP 2009 401k membership
Total participants, beginning-of-year	2009-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	873
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	873

Form 5500 Responses for CAFETERIA PLAN FOR THE SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

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