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| Plan Name | CLAIBORNE AND HUGHES HEALTH CENTER 401K PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | CLAIBORNE AND HUGHES HEALTH CENTER |
| Employer identification number (EIN): | 261666539 |
| NAIC Classification: | 621498 |
| NAIC Description: | All Other Outpatient Care Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2011-01-01 | GRACE PRYOR | 2012-09-10 |
| Measure | Date | Value |
|---|---|---|
| 2010 : CLAIBORNE AND HUGHES HEALTH CENTER 401K PLAN 2010 401k financial data | ||
| Total income from all sources | 2010-12-31 | $27,187 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $14,280 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $14,280 |
| Total plan assets at end of year | 2010-12-31 | $203,555 |
| Total plan assets at beginning of year | 2010-12-31 | $190,648 |
| Value of fidelity bond covering the plan | 2010-12-31 | $1,000,000 |
| Total contributions received or receivable from participants | 2010-12-31 | $13,687 |
| Contributions received from other sources (not participants or employers) | 2010-12-31 | $0 |
| Other income received | 2010-12-31 | $1,389 |
| Net income (gross income less expenses) | 2010-12-31 | $12,907 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $203,555 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $190,648 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $12,111 |
| AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 ) | |||||||||||
| Policy contract number | 27-2050617 | ||||||||||
| Policy instance | 1 | ||||||||||
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