401k Plan data: NORTH METRO MEDICAL CENTER CAFETERIA PLAN plan

NORTH METRO MEDICAL CENTER CAFETERIA PLAN 401k Plan overview

Plan Name	NORTH METRO MEDICAL CENTER CAFETERIA PLAN
Plan identification number	501

NORTH METRO MEDICAL CENTER CAFETERIA PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

NORTH METRO MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name: NORTH METRO MEDICAL CENTER

Employer identification number (EIN): 710769555

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH METRO MEDICAL CENTER CAFETERIA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2012-01-01 JANE ROCKWELL
501 2011-01-01 JANE ROCKWELL
501 2010-01-01 JANE ROCKWELL
501 2009-01-01 JANE ROCKWELL

Plan id#	Filing Submission Date	Name of Administrator
501	2012-01-01	JANE ROCKWELL
501	2011-01-01	JANE ROCKWELL
501	2010-01-01	JANE ROCKWELL
501	2009-01-01	JANE ROCKWELL

Plan Statistics for NORTH METRO MEDICAL CENTER CAFETERIA PLAN

401k plan membership statisitcs for NORTH METRO MEDICAL CENTER CAFETERIA PLAN

Measure Date Value
2012: NORTH METRO MEDICAL CENTER CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 447
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Total of all active and inactive participants 2012-01-01 0
Total participants 2012-01-01 0
2011: NORTH METRO MEDICAL CENTER CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 468
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 447
Total of all active and inactive participants 2011-01-01 447
Total participants 2011-01-01 447
2010: NORTH METRO MEDICAL CENTER CAFETERIA PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 477
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 468
Total of all active and inactive participants 2010-01-01 468
Total participants 2010-01-01 468
2009: NORTH METRO MEDICAL CENTER CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 562
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 477
Total of all active and inactive participants 2009-01-01 477
Total participants 2009-01-01 477

Measure	Date	Value
2012: NORTH METRO MEDICAL CENTER CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	447
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Total of all active and inactive participants	2012-01-01	0
Total participants	2012-01-01	0
2011: NORTH METRO MEDICAL CENTER CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	468
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	447
Total of all active and inactive participants	2011-01-01	447
Total participants	2011-01-01	447
2010: NORTH METRO MEDICAL CENTER CAFETERIA PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	477
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	468
Total of all active and inactive participants	2010-01-01	468
Total participants	2010-01-01	468
2009: NORTH METRO MEDICAL CENTER CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	562
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	477
Total of all active and inactive participants	2009-01-01	477
Total participants	2009-01-01	477

Form 5500 Responses for NORTH METRO MEDICAL CENTER CAFETERIA PLAN

2012: NORTH METRO MEDICAL CENTER CAFETERIA PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	This submission is the final filing	Yes
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: NORTH METRO MEDICAL CENTER CAFETERIA PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: NORTH METRO MEDICAL CENTER CAFETERIA PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: NORTH METRO MEDICAL CENTER CAFETERIA PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	NORTH METRO MEDICAL CENTER
Employer identification number (EIN):	710769555
NAIC Classification:	622000
NAIC Description:	Hospitals