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PAIN CARE OF OREGON, LLC 401(K) PSP 401k Plan overview

Plan NamePAIN CARE OF OREGON, LLC 401(K) PSP
Plan identification number 001

PAIN CARE OF OREGON, LLC 401(K) PSP Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

PAIN CARE OF OREGON LLC has sponsored the creation of one or more 401k plans.

Company Name:PAIN CARE OF OREGON LLC
Employer identification number (EIN):201375082
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PAIN CARE OF OREGON, LLC 401(K) PSP

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01JASON MEYER2024-10-15
0012022-01-01DONALD STOUDT2023-06-16
0012021-01-01DONALD STOUDT2022-06-08
0012020-01-01KELLY ROUDEBUSH2021-06-08
0012019-01-01KELLY ROUDEBUSH2020-06-02
0012018-01-01KELLY ROUDEBUSH2019-07-15
0012017-01-01KELLY ROUDEBUSH2018-05-23
0012016-01-01HARMONY REEFF2017-09-07
0012015-01-01CHOPPER MORGAN2016-06-20
0012014-01-01GEORGE D. JOHNSTON GEORGE D. JOHNSTON2015-09-11
0012013-01-01GEORGE D. JOHNSTON GEORGE D. JOHNSTON2014-10-06
0012012-01-01GEORGE R. JOHNSTON GEORGE R. JOHNSTON2013-07-31
0012011-01-01GEORGE R. JOHNSTON GEORGE R. JOHNSTON2012-07-05
0012010-01-01GEORGE R. JOHNSTON GEORGE R. JOHNSTON2011-10-13

Financial Data on PAIN CARE OF OREGON, LLC 401(K) PSP

Measure Date Value
2025 : PAIN CARE OF OREGON, LLC 401(K) PSP 2025 401k financial data
Total liabilities as of the beginning of the plan year2025-10-150
Total expenses incurred by plan in this plan year2025-10-1518196
Net assets as of the end of the plan year2025-10-152193315
Total assets as of the beginning of the plan year2025-10-151616037
Value of plan covered by a fidelity bond2025-10-15500000
Participant contributions to plan in this plan year2025-10-15268290
Value of participant loans at end of plan year2025-10-1514051
Other contributions to plan in this plan year2025-10-157300
Other income to plan in this plan year2025-10-15227142
Plan net income in this plan year2025-10-15577278
Net assets as of the end of the plan year2025-10-152193315
Net assets as of the beginning of the plan year2025-10-151616037
Employer contributions to plan in this plan year2025-10-1592742
Expensese paid to adminstrative service provicers from plan in this plan year2025-10-151360
2024 : PAIN CARE OF OREGON, LLC 401(K) PSP 2024 401k financial data
Total liabilities as of the beginning of the plan year2024-10-150
Total expenses incurred by plan in this plan year2024-10-1523486
Net assets as of the end of the plan year2024-10-151616037
Total assets as of the beginning of the plan year2024-10-151203554
Value of plan covered by a fidelity bond2024-10-15500000
Participant contributions to plan in this plan year2024-10-15194194
Value of participant loans at end of plan year2024-10-1527744
Other income to plan in this plan year2024-10-15180568
Plan net income in this plan year2024-10-15412483
Net assets as of the end of the plan year2024-10-151616037
Net assets as of the beginning of the plan year2024-10-151203554
Employer contributions to plan in this plan year2024-10-1561207
Expensese paid to adminstrative service provicers from plan in this plan year2024-10-15480
2022 : PAIN CARE OF OREGON, LLC 401(K) PSP 2022 401k financial data
Total liabilities as of the beginning of the plan year2022-06-080
Total expenses incurred by plan in this plan year2022-06-0821693
Net assets as of the end of the plan year2022-06-081192312
Total assets as of the beginning of the plan year2022-06-081000983
Value of plan covered by a fidelity bond2022-06-0850000
Participant contributions to plan in this plan year2022-06-0888808
Value of participant loans at end of plan year2022-06-0861346
Other contributions to plan in this plan year2022-06-089381
Other income to plan in this plan year2022-06-08104142
Plan net income in this plan year2022-06-08191329
Net assets as of the end of the plan year2022-06-081192312
Net assets as of the beginning of the plan year2022-06-081000983
Value of contributions failed to transmitted timely2022-06-082324
Employer contributions to plan in this plan year2022-06-0810691
Expensese paid to adminstrative service provicers from plan in this plan year2022-06-08150
2014 : PAIN CARE OF OREGON, LLC 401(K) PSP 2014 401k financial data
Total income from all sources2014-12-31$101,527
Expenses. Total of all expenses incurred2014-12-31$360,736
Benefits paid (including direct rollovers)2014-12-31$360,711
Total plan assets at end of year2014-12-31$26,445
Total plan assets at beginning of year2014-12-31$285,654
Value of fidelity bond covering the plan2014-12-31$40,000
Total contributions received or receivable from participants2014-12-31$66,900
Other income received2014-12-31$8,816
Net income (gross income less expenses)2014-12-31$-259,209
Net plan assets at end of year (total assets less liabilities)2014-12-31$26,445
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$285,654
Total contributions received or receivable from employer(s)2014-12-31$25,811
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$25
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : PAIN CARE OF OREGON, LLC 401(K) PSP 2013 401k financial data
Total income from all sources2013-12-31$110,436
Expenses. Total of all expenses incurred2013-12-31$12,140
Benefits paid (including direct rollovers)2013-12-31$12,140
Total plan assets at end of year2013-12-31$285,654
Total plan assets at beginning of year2013-12-31$187,358
Value of fidelity bond covering the plan2013-12-31$40,000
Total contributions received or receivable from participants2013-12-31$62,481
Other income received2013-12-31$27,742
Net income (gross income less expenses)2013-12-31$98,296
Net plan assets at end of year (total assets less liabilities)2013-12-31$285,654
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$187,358
Total contributions received or receivable from employer(s)2013-12-31$20,213
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : PAIN CARE OF OREGON, LLC 401(K) PSP 2012 401k financial data
Total income from all sources2012-12-31$74,365
Expenses. Total of all expenses incurred2012-12-31$0
Total plan assets at end of year2012-12-31$187,358
Total plan assets at beginning of year2012-12-31$112,993
Value of fidelity bond covering the plan2012-12-31$20,000
Total contributions received or receivable from participants2012-12-31$43,202
Other income received2012-12-31$11,714
Net income (gross income less expenses)2012-12-31$74,365
Net plan assets at end of year (total assets less liabilities)2012-12-31$187,358
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$112,993
Total contributions received or receivable from employer(s)2012-12-31$19,449
2011 : PAIN CARE OF OREGON, LLC 401(K) PSP 2011 401k financial data
Total income from all sources2011-12-31$46,087
Expenses. Total of all expenses incurred2011-12-31$23,480
Benefits paid (including direct rollovers)2011-12-31$23,480
Total plan assets at end of year2011-12-31$112,993
Total plan assets at beginning of year2011-12-31$90,386
Value of fidelity bond covering the plan2011-12-31$20,000
Total contributions received or receivable from participants2011-12-31$32,047
Contributions received from other sources (not participants or employers)2011-12-31$2,192
Other income received2011-12-31$-842
Net income (gross income less expenses)2011-12-31$22,607
Net plan assets at end of year (total assets less liabilities)2011-12-31$112,993
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$90,386
Total contributions received or receivable from employer(s)2011-12-31$12,690
2010 : PAIN CARE OF OREGON, LLC 401(K) PSP 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total income from all sources2010-12-31$90,386
Expenses. Total of all expenses incurred2010-12-31$0
Total plan assets at end of year2010-12-31$90,386
Total plan assets at beginning of year2010-12-31$0
Total contributions received or receivable from participants2010-12-31$14,840
Contributions received from other sources (not participants or employers)2010-12-31$59,205
Other income received2010-12-31$8,365
Net income (gross income less expenses)2010-12-31$90,386
Net plan assets at end of year (total assets less liabilities)2010-12-31$90,386
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$0
Total contributions received or receivable from employer(s)2010-12-31$7,976

Form 5500 Responses for PAIN CARE OF OREGON, LLC 401(K) PSP

2014: PAIN CARE OF OREGON, LLC 401(K) PSP 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: PAIN CARE OF OREGON, LLC 401(K) PSP 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: PAIN CARE OF OREGON, LLC 401(K) PSP 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: PAIN CARE OF OREGON, LLC 401(K) PSP 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: PAIN CARE OF OREGON, LLC 401(K) PSP 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01First time form 5500 has been submittedYes
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP1119402
Policy instance 1
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP1119402
Policy instance 1
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP1119402
Policy instance 1
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP1119402
Policy instance 1
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract numberLP1119402
Policy instance 1

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