HEALTH SERVICES, INC. 403(B) PLAN
|
2016
|
630568762
|
2018-04-04
|
HEALTH SERVICES INC.
|
267
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2013-08-01
|
Business code |
621498
|
Sponsor’s telephone number |
3344205001
|
Plan sponsor’s mailing address |
1845 CHERRY ST, MONTGOMERY, AL, 361072613
|
Plan sponsor’s
address |
1845 CHERRY ST, MONTGOMERY, AL, 361072613
|
Number of participants as of the end of the plan year
Active participants |
261 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
14 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
148 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-09-29 |
Name of individual signing |
GILBERT DARRINGTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH SERVICES INC DEFINED CONTRIBUTION
|
2015
|
630568762
|
2018-04-24
|
HEALTH SERVICES INC
|
381
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-02-01
|
Business code |
621399
|
Sponsor’s telephone number |
3344205001
|
Plan sponsor’s mailing address |
1845 CHERRY ST, MONTGOMERY, AL, 361072613
|
Plan sponsor’s
address |
1845 CHERRY ST, MONTGOMERY, AL, 361072613
|
Number of participants as of the end of the plan year
Active participants |
232 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
132 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
226 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-04-24 |
Name of individual signing |
SUSIE JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-04-24 |
Name of individual signing |
SUSIE JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH SERVICES INC DEFINED CONTRIBUTION
|
2015
|
630568762
|
2017-10-09
|
HEALTH SERVICES INC.
|
381
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-02-01
|
Business code |
621399
|
Sponsor’s telephone number |
3344205001
|
Plan sponsor’s mailing address |
1845 CHERRY ST, MONTGOMERY, AL, 361072613
|
Plan sponsor’s
address |
1845 CHERRY ST, MONTGOMERY, AL, 361072613
|
Plan administrator’s name and address
Administrator’s EIN |
660568762 |
Plan administrator’s name |
HEALTH SERVICES INC. |
Plan administrator’s
address |
1845 CHERRY ST, MONTGOMERY, AL, 361072613 |
Administrator’s telephone number |
3344205001 |
Number of participants as of the end of the plan year
Active participants |
232 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
132 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
226 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-09-30 |
Name of individual signing |
GILBERT DARRINGTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH SERVICES INC
|
2015
|
630568762
|
2016-10-28
|
HEALTH SERVICES INC
|
243
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2001-04-01
|
Business code |
621498
|
Sponsor’s telephone number |
3344205001
|
Plan sponsor’s mailing address |
1845 CHERRY ST, MONTGOMERY, AL, 361072613
|
Plan sponsor’s
address |
1845 CHERRY ST, MONTGOMERY, AL, 361072613
|
Number of participants as of the end of the plan year
Active participants |
232 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-10-28 |
Name of individual signing |
DEE COOK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-28 |
Name of individual signing |
DEE COOK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH SERVICES, INC. 403(B) PLAN
|
2015
|
630568762
|
2017-06-28
|
HEALTH SERVICES, INC.
|
279
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2013-08-01
|
Business code |
621399
|
Sponsor’s telephone number |
3344205001
|
Plan sponsor’s mailing address |
1845 CHERRY ST, MONTGOMERY, AL, 361072613
|
Plan sponsor’s
address |
1845 CHERRY ST, MONTGOMERY, AL, 361072613
|
Number of participants as of the end of the plan year
Active participants |
260 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
7 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
169 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-03-27 |
Name of individual signing |
GILBERT DARRINGTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH SERVICES INC DEFINED CONTRIBUTION
|
2014
|
630568672
|
2018-04-24
|
HEALTH SERVICES INC
|
382
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-02-01
|
Business code |
621399
|
Sponsor’s telephone number |
3344205001
|
Plan sponsor’s mailing address |
1845 CHERRY STREET, MONTGOMERY, AL, 36107
|
Plan sponsor’s
address |
1845 CHERRY STREET, MONTGOMERY, AL, 36107
|
Number of participants as of the end of the plan year
Active participants |
231 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
137 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
241 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-04-24 |
Name of individual signing |
GILBERT DARRINGTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH SERVICES INC DEFINED CONTRIBUTION
|
2014
|
630568762
|
2017-10-09
|
HEALTH SERVICES INC
|
382
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-02-01
|
Business code |
621399
|
Sponsor’s telephone number |
3344205001
|
Plan sponsor’s mailing address |
1845 CHERRY STREET, MONTGOMERY, AL, 36107
|
Plan sponsor’s
address |
1845 CHERRY STREET, MONTGOMERY, AL, 36107
|
Number of participants as of the end of the plan year
Active participants |
231 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
137 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
241 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-09-30 |
Name of individual signing |
GILBERT DARRINGTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH SERVICES, INC. DEFINED CONTRIBUTION PLAN
|
2013
|
630568762
|
2014-10-15
|
HEALTH SERVICES, INC.
|
256
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-02-01
|
Business code |
621399
|
Sponsor’s telephone number |
3342632301
|
Plan sponsor’s mailing address |
P.O. BOX 70365, MONTGOMERY, AL, 361070365
|
Plan sponsor’s
address |
1845 CHERRY STREET, MONTGOMERY, AL, 36106
|
Number of participants as of the end of the plan year
Active participants |
307 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
46 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
265 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
LISA NELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH SERVICES, INC. DEFINED CONTRIBUTION PLAN
|
2012
|
630568762
|
2013-10-15
|
HEALTH SERVICES, INC.
|
417
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-02-01
|
Business code |
621399
|
Sponsor’s telephone number |
3342632301
|
Plan sponsor’s mailing address |
P.O. BOX 70365, MONTGOMERY, AL, 361070365
|
Plan sponsor’s
address |
1845 CHERRY STREET, MONTGOMERY, AL, 36106
|
Number of participants as of the end of the plan year
Active participants |
183 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
73 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
242 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
28 |
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
JACQUELINE PEAGLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH SERVICES, INC. DEFINED CONTRIBUTION PLAN
|
2011
|
630568762
|
2012-10-16
|
HEALTH SERVICES, INC.
|
384
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-02-01
|
Business code |
621399
|
Sponsor’s telephone number |
3342632301
|
Plan sponsor’s mailing address |
P.O. BOX 70365, MONTGOMERY, AL, 361070365
|
Plan sponsor’s
address |
1845 CHERRY STREET, MONTGOMERY, AL, 36106
|
Plan administrator’s name and address
Administrator’s EIN |
630568762 |
Plan administrator’s name |
HEALTH SERVICES, INC. |
Plan administrator’s
address |
1845 CHERRY STREET, MONTGOMERY, AL, 36106 |
Administrator’s telephone number |
3342632301 |
Number of participants as of the end of the plan year
Active participants |
231 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
186 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
413 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
21 |
Signature of
Role |
Plan administrator |
Date |
2012-10-16 |
Name of individual signing |
JACQUELINE PEAGLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|