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| Plan Name | NEIGHBORHOOD HEALTH CENTER VISION PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NEIGHBORHOOD HEALTH CENTER |
| Employer identification number (EIN): | 273524752 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Additional information about NEIGHBORHOOD HEALTH CENTER
| Jurisdiction of Incorporation: | Oregon Secretary of State Corporations Division |
| Incorporation Date: | 2010-11-12 |
| Company Identification Number: | 72761399 |
| Legal Registered Office Address: |
7320 SW HUNZIKER RD STE 300 PORTLAND United States of America (USA) 97223 |
More information about NEIGHBORHOOD HEALTH CENTER
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2023-01-01 | BLAIN WEST | 2024-10-04 | ||
| 503 | 2022-01-01 | BLAIN WEST | 2023-07-27 |
| Measure | Date | Value |
|---|---|---|
| 2023: NEIGHBORHOOD HEALTH CENTER VISION PLAN 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-01-01 | 113 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 132 |
| Number of retired or separated participants receiving benefits | 2023-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2023-01-01 | 0 |
| Total of all active and inactive participants | 2023-01-01 | 132 |
| Number of employers contributing to the scheme | 2023-01-01 | 0 |
| 2022: NEIGHBORHOOD HEALTH CENTER VISION PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-01-01 | 111 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 113 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 113 |
| Number of employers contributing to the scheme | 2022-01-01 | 0 |
| 2023: NEIGHBORHOOD HEALTH CENTER VISION PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: NEIGHBORHOOD HEALTH CENTER VISION PLAN 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | First time form 5500 has been submitted | Yes |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||||||||
| Policy contract number | 30043865 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||||||||
| Policy contract number | 30043865 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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