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| Plan Name | CENTERS FOR PAIN MGMT OF GA, LLC EMPLOYEE GROUP HEALTH PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CENTERS FOR PAIN MANAGEMENT OF GA, LLC |
| Employer identification number (EIN): | 461313838 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2017-09-01 | LELAND ROBERTS | 2019-08-01 | ||
| 501 | 2016-09-01 | LELAND ROBERTS | 2018-04-16 | ||
| 501 | 2015-09-01 | LELAND ROBERTS | 2017-07-31 | ||
| 501 | 2014-09-01 | DR. PATRICK G. GOODMAN |
| Measure | Date | Value |
|---|---|---|
| 2014: CENTERS FOR PAIN MGMT OF GA, LLC EMPLOYEE GROUP HEALTH PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-09-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-09-01 | 2 |
| Total of all active and inactive participants | 2014-09-01 | 2 |
| Measure | Date | Value |
|---|---|---|
| 2015 : CENTERS FOR PAIN MGMT OF GA, LLC EMPLOYEE GROUP HEALTH PLAN 2015 401k financial data | ||
| Total plan liabilities at end of year | 2015-08-31 | $0 |
| Total plan liabilities at beginning of year | 2015-08-31 | $0 |
| Total income from all sources | 2015-08-31 | $5,916 |
| Expenses. Total of all expenses incurred | 2015-08-31 | $718 |
| Benefits paid (including direct rollovers) | 2015-08-31 | $718 |
| Total plan assets at end of year | 2015-08-31 | $5,198 |
| Total plan assets at beginning of year | 2015-08-31 | $0 |
| Net income (gross income less expenses) | 2015-08-31 | $5,198 |
| Net plan assets at end of year (total assets less liabilities) | 2015-08-31 | $5,198 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-08-31 | $0 |
| Total contributions received or receivable from employer(s) | 2015-08-31 | $5,916 |
| 2014: CENTERS FOR PAIN MGMT OF GA, LLC EMPLOYEE GROUP HEALTH PLAN 2014 form 5500 responses | ||
|---|---|---|
| 2014-09-01 | Type of plan entity | Single employer plan |
| 2014-09-01 | First time form 5500 has been submitted | Yes |
| 2014-09-01 | Plan funding arrangement – Trust | Yes |
| 2014-09-01 | Plan benefit arrangement - Trust | Yes |
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