NORWOOD CLINIC INC GROUP LIFE MEDICAL AND DISABILITY PLAN
|
2014
|
630715625
|
2015-07-23
|
NORWOOD CLINIC INC
|
101
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1984-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2052506845
|
Plan sponsor’s mailing address |
2018 BROOKWOOD MEDICAL CENTER DR, HOMEWOOD, AL, 35209
|
Plan sponsor’s
address |
POB SUITE 301, HOMEWOOD, AL, 35209
|
Plan administrator’s name and address
Administrator’s EIN |
630715625 |
Plan administrator’s name |
NORWOOD CLINIC INC |
Plan administrator’s
address |
2018 BROOKWOOD MEDICAL CENTER DR, HOMEWOOD, AL, 35209 |
Administrator’s telephone number |
2052506845 |
Number of participants as of the end of the plan year
Active participants |
103 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-23 |
Name of individual signing |
SETH ATKINSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORWOOD CLINIC INC GROUP LIFE MEDICAL AND DISABILITY PLAN
|
2013
|
630715625
|
2014-06-30
|
NORWOOD CLINIC INC
|
95
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1984-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2052506845
|
Plan sponsor’s mailing address |
2018 BROOKWOOD MEDICAL CENTER DR, HOMEWOOD, AL, 35209
|
Plan sponsor’s
address |
POB SUITE 301, HOMEWOOD, AL, 35209
|
Plan administrator’s name and address
Administrator’s EIN |
630715625 |
Plan administrator’s name |
NORWOOD CLINIC INC |
Plan administrator’s
address |
2018 BROOKWOOD MEDICAL CENTER DR, HOMEWOOD, AL, 35209 |
Administrator’s telephone number |
2052506845 |
Number of participants as of the end of the plan year
Active participants |
100 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-06-30 |
Name of individual signing |
SETH ATKINSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORWOOD CLINIC INC GROUP LIFE MEDICAL AND DISABILITY PLAN
|
2011
|
630715625
|
2012-07-19
|
NORWOOD CLINIC INC
|
97
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1984-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2052506845
|
Plan sponsor’s mailing address |
2018 BROOKWOOD MEDICAL CENTER DR, HOMEWOOD, AL, 35209
|
Plan sponsor’s
address |
POB SUITE 301, HOMEWOOD, AL, 35209
|
Plan administrator’s name and address
Administrator’s EIN |
630715625 |
Plan administrator’s name |
NORWOOD CLINIC INC |
Plan administrator’s
address |
2018 BROOKWOOD MEDICAL CENTER DR, HOMEWOOD, AL, 35209 |
Administrator’s telephone number |
2052506845 |
Number of participants as of the end of the plan year
Active participants |
97 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-07-18 |
Name of individual signing |
SETH ATKINSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORWOOD CLINIC INC GROUP LIFE MEDICAL AND DISABILITY PLAN
|
2010
|
630715625
|
2011-09-15
|
NORWOOD CLINIC INC
|
104
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1984-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2052506845
|
Plan sponsor’s mailing address |
2018 BROOKWOOD MEDICAL CENTER DR, HOMEWOOD, AL, 35209
|
Plan sponsor’s
address |
POB SUITE 301, HOMEWOOD, AL, 35209
|
Plan administrator’s name and address
Administrator’s EIN |
630715625 |
Plan administrator’s name |
NORWOOD CLINIC INC |
Plan administrator’s
address |
2018 BROOKWOOD MEDICAL CENTER DR, HOMEWOOD, AL, 35209 |
Administrator’s telephone number |
2052506845 |
Number of participants as of the end of the plan year
Active participants |
90 |
Retired or separated participants receiving
benefits |
9 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-09-15 |
Name of individual signing |
SETH ATKINSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORWOOD CLINIC INC GROUP LIFE MEDICAL AND DISABILITY PLAN
|
2010
|
630715625
|
2011-09-15
|
NORWOOD CLINIC INC
|
104
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1984-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2052506845
|
Plan sponsor’s mailing address |
2018 BROOKWOOD MEDICAL CENTER DR, HOMEWOOD, AL, 35209
|
Plan sponsor’s
address |
POB SUITE 301, HOMEWOOD, AL, 35209
|
Plan administrator’s name and address
Administrator’s EIN |
630715625 |
Plan administrator’s name |
NORWOOD CLINIC INC |
Plan administrator’s
address |
2018 BROOKWOOD MEDICAL CENTER DR, HOMEWOOD, AL, 35209 |
Administrator’s telephone number |
2052506845 |
Number of participants as of the end of the plan year
Active participants |
90 |
Retired or separated participants receiving
benefits |
9 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-09-15 |
Name of individual signing |
SETH ATKINSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORWOOD CLINIC INC GROUP LIFE MEDICAL AND DISABILITY PLAN
|
2009
|
630715625
|
2010-10-06
|
NORWOOD CLINIC INC
|
107
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1984-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2052506845
|
Plan sponsor’s mailing address |
2018 BROOKWOOD MEDICAL CENTER DR., HOMEWOOD, AL, 35209
|
Plan sponsor’s
address |
POB SUITE 301, HOMEWOOD, AL, 35209
|
Plan administrator’s name and address
Administrator’s EIN |
630715625 |
Plan administrator’s name |
NORWOOD CLINIC INC |
Plan administrator’s
address |
2018 BROOKWOOD MEDICAL CENTER DR., HOMEWOOD, AL, 35209 |
Administrator’s telephone number |
2052506845 |
Number of participants as of the end of the plan year
Active participants |
109 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2010-10-06 |
Name of individual signing |
SETH ATKINSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|