401k Plan data: SIOUX CENTER HEALTH DENTAL PLAN plan

SIOUX CENTER HEALTH DENTAL PLAN 401k Plan overview

Plan Name	SIOUX CENTER HEALTH DENTAL PLAN
Plan identification number	502

SIOUX CENTER HEALTH DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

SIOUX CENTER HEALTH has sponsored the creation of one or more 401k plans.

Company Name: SIOUX CENTER HEALTH

Employer identification number (EIN): 420796764

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about SIOUX CENTER HEALTH

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities

Incorporation Date: 1948-01-27

Company Identification Number: 081856

Legal Registered Office Address: 1101 9TH ST SE

SIOUX CENTER
United States of America (USA)
51250

More information about SIOUX CENTER HEALTH

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SIOUX CENTER HEALTH DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2014-07-01
502 2014-07-01
502 2013-07-01
502 2012-07-01 JACKSON SCHUITEMAN
502 2011-07-01 THERESA TUCKER

Plan Statistics for SIOUX CENTER HEALTH DENTAL PLAN

401k plan membership statisitcs for SIOUX CENTER HEALTH DENTAL PLAN

Measure Date Value
2014: SIOUX CENTER HEALTH DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 193
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 0
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 0
Total of all active and inactive participants 2014-07-01 0
2013: SIOUX CENTER HEALTH DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 195
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 191
Number of retired or separated participants receiving benefits 2013-07-01 1
Number of other retired or separated participants entitled to future benefits 2013-07-01 1
Total of all active and inactive participants 2013-07-01 193
2012: SIOUX CENTER HEALTH DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 199
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 197
Number of retired or separated participants receiving benefits 2012-07-01 3
Total of all active and inactive participants 2012-07-01 200
2011: SIOUX CENTER HEALTH DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 200
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 197
Number of retired or separated participants receiving benefits 2011-07-01 4
Total of all active and inactive participants 2011-07-01 201

Measure	Date	Value
2014: SIOUX CENTER HEALTH DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	193
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	0
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	0
2013: SIOUX CENTER HEALTH DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	195
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	191
Number of retired or separated participants receiving benefits	2013-07-01	1
Number of other retired or separated participants entitled to future benefits	2013-07-01	1
Total of all active and inactive participants	2013-07-01	193
2012: SIOUX CENTER HEALTH DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	199
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	197
Number of retired or separated participants receiving benefits	2012-07-01	3
Total of all active and inactive participants	2012-07-01	200
2011: SIOUX CENTER HEALTH DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	200
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	197
Number of retired or separated participants receiving benefits	2011-07-01	4
Total of all active and inactive participants	2011-07-01	201

Form 5500 Responses for SIOUX CENTER HEALTH DENTAL PLAN

2014: SIOUX CENTER HEALTH DENTAL PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	Yes
2014-07-01	This submission is the final filing	Yes
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: SIOUX CENTER HEALTH DENTAL PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: SIOUX CENTER HEALTH DENTAL PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: SIOUX CENTER HEALTH DENTAL PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	First time form 5500 has been submitted	Yes
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	SIOUX CENTER HEALTH
Employer identification number (EIN):	420796764
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Iowa Secretary of State Business Entities
Incorporation Date:	1948-01-27
Company Identification Number:	081856
Legal Registered Office Address:	1101 9TH ST SE SIOUX CENTER United States of America (USA) 51250