401k Plan data: PAGE REHABILITATION AND HEALTHCARE CENTER, INC. GROUP MEDICAL PLAN plan

PAGE REHABILITATION AND HEALTHCARE CENTER, INC. GROUP MEDICAL PLAN 401k Plan overview

Plan Name	PAGE REHABILITATION AND HEALTHCARE CENTER, INC. GROUP MEDICAL PLAN
Plan identification number	501

PAGE REHABILITATION AND HEALTHCARE CENTER, INC. GROUP MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20. Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

PAGE REHABILITATION AND HEALTHCARE CENTER has sponsored the creation of one or more 401k plans.

Company Name: PAGE REHABILITATION AND HEALTHCARE CENTER

Employer identification number (EIN): 650850574

NAIC Classification: 805198

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PAGE REHABILITATION AND HEALTHCARE CENTER, INC. GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-01-01 NICOLE SOFIA 2022-09-20
501 2017-10-01
501 2016-10-01 FONDA POTTS
501 2015-10-01 FONDA POTTS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2021-01-01	NICOLE SOFIA	2022-09-20
501	2017-10-01
501	2016-10-01	FONDA POTTS
501	2015-10-01	FONDA POTTS

Plan Statistics for PAGE REHABILITATION AND HEALTHCARE CENTER, INC. GROUP MEDICAL PLAN

401k plan membership statisitcs for PAGE REHABILITATION AND HEALTHCARE CENTER, INC. GROUP MEDICAL PLAN

Measure Date Value
2021: PAGE REHABILITATION AND HEALTHCARE CENTER, INC. GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 63
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 63
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 63
Number of employers contributing to the scheme 2021-01-01 0
2017: PAGE REHABILITATION AND HEALTHCARE CENTER, INC. GROUP MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-10-01 124
Total number of active participants reported on line 7a of the Form 5500 2017-10-01 146
Number of retired or separated participants receiving benefits 2017-10-01 0
Number of other retired or separated participants entitled to future benefits 2017-10-01 0
Total of all active and inactive participants 2017-10-01 146
2016: PAGE REHABILITATION AND HEALTHCARE CENTER, INC. GROUP MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-10-01 107
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 123
Number of retired or separated participants receiving benefits 2016-10-01 1
Number of other retired or separated participants entitled to future benefits 2016-10-01 0
Total of all active and inactive participants 2016-10-01 124
2015: PAGE REHABILITATION AND HEALTHCARE CENTER, INC. GROUP MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 126
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 113
Number of retired or separated participants receiving benefits 2015-10-01 1
Number of other retired or separated participants entitled to future benefits 2015-10-01 0
Total of all active and inactive participants 2015-10-01 114

Measure	Date	Value
2021: PAGE REHABILITATION AND HEALTHCARE CENTER, INC. GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	63
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	63
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	63
Number of employers contributing to the scheme	2021-01-01	0
2017: PAGE REHABILITATION AND HEALTHCARE CENTER, INC. GROUP MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-10-01	124
Total number of active participants reported on line 7a of the Form 5500	2017-10-01	146
Number of retired or separated participants receiving benefits	2017-10-01	0
Number of other retired or separated participants entitled to future benefits	2017-10-01	0
Total of all active and inactive participants	2017-10-01	146
2016: PAGE REHABILITATION AND HEALTHCARE CENTER, INC. GROUP MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	107
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	123
Number of retired or separated participants receiving benefits	2016-10-01	1
Number of other retired or separated participants entitled to future benefits	2016-10-01	0
Total of all active and inactive participants	2016-10-01	124
2015: PAGE REHABILITATION AND HEALTHCARE CENTER, INC. GROUP MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	126
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	113
Number of retired or separated participants receiving benefits	2015-10-01	1
Number of other retired or separated participants entitled to future benefits	2015-10-01	0
Total of all active and inactive participants	2015-10-01	114

Form 5500 Responses for PAGE REHABILITATION AND HEALTHCARE CENTER, INC. GROUP MEDICAL PLAN

2021: PAGE REHABILITATION AND HEALTHCARE CENTER, INC. GROUP MEDICAL PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: PAGE REHABILITATION AND HEALTHCARE CENTER, INC. GROUP MEDICAL PLAN 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	Submission has been amended	No
2017-10-01	This submission is the final filing	No
2017-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-10-01	Plan is a collectively bargained plan	No
2017-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: PAGE REHABILITATION AND HEALTHCARE CENTER, INC. GROUP MEDICAL PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Submission has been amended	No
2016-10-01	This submission is the final filing	No
2016-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-10-01	Plan is a collectively bargained plan	No
2016-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: PAGE REHABILITATION AND HEALTHCARE CENTER, INC. GROUP MEDICAL PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	First time form 5500 has been submitted	Yes
2015-10-01	Submission has been amended	No
2015-10-01	This submission is the final filing	No
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-10-01	Plan is a collectively bargained plan	No
2015-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-10-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	PAGE REHABILITATION AND HEALTHCARE CENTER
Employer identification number (EIN):	650850574
NAIC Classification:	805198