| Plan Name | HOSA RETIREMENT PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | HOSPICE OF SAN ANGELO, INC. |
| Employer identification number (EIN): | 751981022 |
| NAIC Classification: | 813000 |
| NAIC Description: | Religious, Grantmaking, Civic, Professional, and Similar Organizations |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2017-01-01 | GINA COUNCILMAN | 2018-04-12 | GINA COUNCILMAN | 2018-04-12 |
| 001 | 2016-01-01 | GINA COUNCILMAN | 2017-07-11 | GINA COUNCILMAN | 2017-07-11 |
| 001 | 2015-01-01 | GINA COUNCILMAN | 2016-04-04 | GINA COUNCILMAN | 2016-04-04 |
| 001 | 2014-01-01 | GINA COUNCILMAN | 2015-03-03 | GINA COUNCILMAN | 2015-06-23 |
| 001 | 2013-01-01 | GINA COUNCILMAN | 2014-02-25 | GINA COUNCILMAN | 2014-02-25 |
| 001 | 2012-01-01 | GINA COUNCILMAN | 2013-06-26 | GINA COUNCILMAN | 2013-06-26 |
| 001 | 2011-01-01 | GINA COUNCILMAN | 2012-07-06 | GINA COUNCILMAN | 2012-07-06 |
| 001 | 2010-01-01 | GINA COUNCILMAN | 2011-03-23 | GINA COUNCILMAN | 2011-03-23 |