THREE RIVERS MEDICAL GROUP, INC. 401k Plan overview

THREE RIVERS MEDICAL GROUP, INC. Benefits

401k Sponsoring company profile

Company Name:	THREE RIVERS MEDICAL GROUP, INC.
Employer identification number (EIN):	261928904
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	DOUGLAS T. FUJII, D.O.	2023-09-06
001	2021-01-01	DOUGLAS T. FUJII, D.O.	2022-07-29
001	2020-01-01	DOUGLAS T. FUJII, D.O.	2021-06-21
001	2019-01-01	DOUGLAS T. FUJII, D.O.	2020-07-30
001	2018-01-01	DOUGLAS T. FUJII, D.O.	2019-08-12
001	2017-01-01	DOUGLAS T. FUJII, D.O.	2018-07-26
001	2016-01-01	DOUGLAS T. FUJII, D.O.	2017-07-14
001	2015-01-01	DOUGLAS T. FUJII, D.O.	2016-06-15
001	2014-01-01	DOUGLAS T. FUJII, D.O.	2015-05-26
001	2013-01-01	DOUGLAS T. FUJII, D.O.	2014-06-24	DOUGLAS T. FUJII, D.O.	2014-06-24
001	2012-01-01	DOUGLAS FUJII D.O.	2013-07-05	DOUGLAS FUJII D.O.	2013-07-05
001	2011-01-01	DOUGLAS FUJII D.O.	2013-07-05	DOUGLAS FUJII D.O.	2013-07-05
001	2010-01-01	DOUGLAS FUJII D.O.	2013-07-05	DOUGLAS FUJII D.O.	2013-07-05
001	2008-06-01	DOUGLAS FUJII D.O.		DOUGLAS FUJII D.O.	2013-07-05

Plan Statistics for THREE RIVERS MEDICAL GROUP, INC.

Measure	Date	Value
2008: THREE RIVERS MEDICAL GROUP, INC. 2008 401k membership
Total participants, beginning-of-year	2008-06-01	2
Total number of active participants reported on line 7a of the Form 5500	2008-06-01	2
Number of retired or separated participants receiving benefits	2008-06-01	0
Number of other retired or separated participants entitled to future benefits	2008-06-01	0
Total of all active and inactive participants	2008-06-01	2
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-06-01	0
Total participants	2008-06-01	2
Number of participants with account balances	2008-06-01	2
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-06-01	0

Financial Data on THREE RIVERS MEDICAL GROUP, INC.

Form 5500 Responses for THREE RIVERS MEDICAL GROUP, INC.

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