401k Plan data: LIFESPRING HEALTH INSURANCE plan

LIFESPRING HEALTH INSURANCE 401k Plan overview

Plan Name	LIFESPRING HEALTH INSURANCE
Plan identification number	506

LIFESPRING HEALTH INSURANCE Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

LIFESPRING, INC. has sponsored the creation of one or more 401k plans.

Company Name: LIFESPRING, INC.

Employer identification number (EIN): 351097350

NAIC Classification: 621420
NAIC Description: Outpatient Mental Health and Substance Abuse Centers

Additional information about LIFESPRING, INC.

Jurisdiction of Incorporation: Alabama Secretary of State

Incorporation Date: 2000-06-16

Company Identification Number: 210-411

Legal Registered Office Address: 3911 PLEASANT VALLEY RD MOBILE,

United States of America (USA)
36609

More information about LIFESPRING, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFESPRING HEALTH INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
506 2015-10-01 KAREN JONES 2017-09-21
506 2014-10-01 KAREN JONES 2017-09-21
506 2013-10-01 KAREN JONES 2017-09-21
506 2012-10-01 KAREN JONES 2017-09-21

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
506	2015-10-01	KAREN JONES	2017-09-21
506	2014-10-01	KAREN JONES	2017-09-21
506	2013-10-01	KAREN JONES	2017-09-21
506	2012-10-01	KAREN JONES	2017-09-21

Plan Statistics for LIFESPRING HEALTH INSURANCE

401k plan membership statisitcs for LIFESPRING HEALTH INSURANCE

Measure Date Value
2015: LIFESPRING HEALTH INSURANCE 2015 401k membership
Total participants, beginning-of-year 2015-10-01 135
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 0
Total of all active and inactive participants 2015-10-01 0
Total participants 2015-10-01 0
2014: LIFESPRING HEALTH INSURANCE 2014 401k membership
Total participants, beginning-of-year 2014-10-01 124
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 135
Total of all active and inactive participants 2014-10-01 135
Total participants 2014-10-01 135
2013: LIFESPRING HEALTH INSURANCE 2013 401k membership
Total participants, beginning-of-year 2013-10-01 109
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 124
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 0
Total of all active and inactive participants 2013-10-01 124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 0
Total participants 2013-10-01 124
2012: LIFESPRING HEALTH INSURANCE 2012 401k membership
Total participants, beginning-of-year 2012-10-01 95
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 109
Total of all active and inactive participants 2012-10-01 109
Total participants 2012-10-01 109

Measure	Date	Value
2015: LIFESPRING HEALTH INSURANCE 2015 401k membership
Total participants, beginning-of-year	2015-10-01	135
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	0
Total of all active and inactive participants	2015-10-01	0
Total participants	2015-10-01	0
2014: LIFESPRING HEALTH INSURANCE 2014 401k membership
Total participants, beginning-of-year	2014-10-01	124
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	135
Total of all active and inactive participants	2014-10-01	135
Total participants	2014-10-01	135
2013: LIFESPRING HEALTH INSURANCE 2013 401k membership
Total participants, beginning-of-year	2013-10-01	109
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	124
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	0
Total of all active and inactive participants	2013-10-01	124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	0
Total participants	2013-10-01	124
2012: LIFESPRING HEALTH INSURANCE 2012 401k membership
Total participants, beginning-of-year	2012-10-01	95
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	109
Total of all active and inactive participants	2012-10-01	109
Total participants	2012-10-01	109

Form 5500 Responses for LIFESPRING HEALTH INSURANCE

2015: LIFESPRING HEALTH INSURANCE 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Submission has been amended	No
2015-10-01	This submission is the final filing	Yes
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-10-01	Plan is a collectively bargained plan	No
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement – Insurance	Yes
2014: LIFESPRING HEALTH INSURANCE 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2013: LIFESPRING HEALTH INSURANCE 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2012: LIFESPRING HEALTH INSURANCE 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	First time form 5500 has been submitted	Yes
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	LIFESPRING, INC.
Employer identification number (EIN):	351097350
NAIC Classification:	621420
NAIC Description:	Outpatient Mental Health and Substance Abuse Centers

Jurisdiction of Incorporation:	Alabama Secretary of State
Incorporation Date:	2000-06-16
Company Identification Number:	210-411
Legal Registered Office Address:	3911 PLEASANT VALLEY RD MOBILE, United States of America (USA) 36609