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Plan Name | ADAPT, INC. VISION PLAN |
Plan identification number | 503 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | ADAPT |
Employer identification number (EIN): | 930611783 |
NAIC Classification: | 621420 |
NAIC Description: | Outpatient Mental Health and Substance Abuse Centers |
Additional information about ADAPT
Jurisdiction of Incorporation: | Oregon Secretary of State Corporations Division |
Incorporation Date: | 1971-06-10 |
Company Identification Number: | 9334517 |
Legal Registered Office Address: |
621 W MADRONE ST ROSEBURG United States of America (USA) 97470 |
More information about ADAPT
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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503 | 2019-01-01 | GRAYSON BLY | 2020-05-19 | ||
503 | 2019-01-01 | GRAYSON BLY | 2021-02-18 | ||
503 | 2018-01-01 |
Measure | Date | Value |
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2019: ADAPT, INC. VISION PLAN 2019 401k membership | ||
Total participants, beginning-of-year | 2019-01-01 | 188 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 199 |
Number of retired or separated participants receiving benefits | 2019-01-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
Total of all active and inactive participants | 2019-01-01 | 200 |
Number of employers contributing to the scheme | 2019-01-01 | 0 |
2018: ADAPT, INC. VISION PLAN 2018 401k membership | ||
Total participants, beginning-of-year | 2018-01-01 | 174 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 188 |
Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
Total of all active and inactive participants | 2018-01-01 | 188 |
Number of employers contributing to the scheme | 2018-01-01 | 0 |
2019: ADAPT, INC. VISION PLAN 2019 form 5500 responses | ||
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2019-01-01 | Type of plan entity | Single employer plan |
2019-01-01 | Submission has been amended | Yes |
2019-01-01 | This submission is the final filing | Yes |
2019-01-01 | Plan funding arrangement – Insurance | Yes |
2019-01-01 | Plan benefit arrangement – Insurance | Yes |
2018: ADAPT, INC. VISION PLAN 2018 form 5500 responses | ||
2018-01-01 | Type of plan entity | Single employer plan |
2018-01-01 | First time form 5500 has been submitted | Yes |
2018-01-01 | Plan funding arrangement – Insurance | Yes |
2018-01-01 | Plan benefit arrangement – Insurance | Yes |
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||||||||
Policy contract number | 30054966 | ||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||
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VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||||||||
Policy contract number | 30054966 | ||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||
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