401k Plan data: IDAHO PAIN MEDICINE 401K PLAN plan

IDAHO PAIN MEDICINE 401K PLAN 401k Plan overview

Plan Name	IDAHO PAIN MEDICINE 401K PLAN
Plan identification number	001

IDAHO PAIN MEDICINE 401K PLAN Benefits

401k Plan Type

Defined 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.
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

IDAHO PAIN MEDICINE, LLP has sponsored the creation of one or more 401k plans.

Company Name: IDAHO PAIN MEDICINE, LLP

Employer identification number (EIN): 208182831

NAIC Classification: 621498
NAIC Description: All Other Outpatient Care Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IDAHO PAIN MEDICINE 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2015-01-01 SHANE MAXWELL
001 2014-01-01
001 2013-01-01
001 2012-01-01 SHANE MAXWELL
001 2011-01-01 SHANE MAXWELL
001 2010-01-01 RICHARD DUBOSE
001 2009-01-01 RICHARD DUBOSE

Plan Statistics for IDAHO PAIN MEDICINE 401K PLAN

401k plan membership statisitcs for IDAHO PAIN MEDICINE 401K PLAN

Measure Date Value
2015: IDAHO PAIN MEDICINE 401K PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: IDAHO PAIN MEDICINE 401K PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 5
Number of other retired or separated participants entitled to future benefits 2014-01-01 4
Total of all active and inactive participants 2014-01-01 4
Total participants 2014-01-01 4
Number of participants with account balances 2014-01-01 4
2013: IDAHO PAIN MEDICINE 401K PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 13
Number of other retired or separated participants entitled to future benefits 2013-01-01 5
Total of all active and inactive participants 2013-01-01 5
Total participants 2013-01-01 5
Number of participants with account balances 2013-01-01 5
2012: IDAHO PAIN MEDICINE 401K PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 20
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Number of retired or separated participants receiving benefits 2012-01-01 1
Number of other retired or separated participants entitled to future benefits 2012-01-01 12
Total of all active and inactive participants 2012-01-01 13
Total participants 2012-01-01 13
Number of participants with account balances 2012-01-01 13
2011: IDAHO PAIN MEDICINE 401K PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 11
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 8
Total of all active and inactive participants 2011-01-01 20
Total participants 2011-01-01 20
Number of participants with account balances 2011-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 1
2010: IDAHO PAIN MEDICINE 401K PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 17
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 9
Number of other retired or separated participants entitled to future benefits 2010-01-01 8
Total of all active and inactive participants 2010-01-01 17
Total participants 2010-01-01 17
Number of participants with account balances 2010-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 1
2009: IDAHO PAIN MEDICINE 401K PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 10
Number of other retired or separated participants entitled to future benefits 2009-01-01 7
Total of all active and inactive participants 2009-01-01 17
Total participants 2009-01-01 17
Number of participants with account balances 2009-01-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 3

Measure	Date	Value
2015: IDAHO PAIN MEDICINE 401K PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: IDAHO PAIN MEDICINE 401K PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	5
Number of other retired or separated participants entitled to future benefits	2014-01-01	4
Total of all active and inactive participants	2014-01-01	4
Total participants	2014-01-01	4
Number of participants with account balances	2014-01-01	4
2013: IDAHO PAIN MEDICINE 401K PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	13
Number of other retired or separated participants entitled to future benefits	2013-01-01	5
Total of all active and inactive participants	2013-01-01	5
Total participants	2013-01-01	5
Number of participants with account balances	2013-01-01	5
2012: IDAHO PAIN MEDICINE 401K PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	20
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	12
Total of all active and inactive participants	2012-01-01	13
Total participants	2012-01-01	13
Number of participants with account balances	2012-01-01	13
2011: IDAHO PAIN MEDICINE 401K PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	11
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	8
Total of all active and inactive participants	2011-01-01	20
Total participants	2011-01-01	20
Number of participants with account balances	2011-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	1
2010: IDAHO PAIN MEDICINE 401K PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	17
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	9
Number of other retired or separated participants entitled to future benefits	2010-01-01	8
Total of all active and inactive participants	2010-01-01	17
Total participants	2010-01-01	17
Number of participants with account balances	2010-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	1
2009: IDAHO PAIN MEDICINE 401K PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	10
Number of other retired or separated participants entitled to future benefits	2009-01-01	7
Total of all active and inactive participants	2009-01-01	17
Total participants	2009-01-01	17
Number of participants with account balances	2009-01-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	3

Financial Data on IDAHO PAIN MEDICINE 401K PLAN

Measure	Date	Value
2015 : IDAHO PAIN MEDICINE 401K PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$7,091
Expenses. Total of all expenses incurred	2015-12-31	$238,495
Benefits paid (including direct rollovers)	2015-12-31	$237,964
Total plan assets at end of year	2015-12-31	$0
Total plan assets at beginning of year	2015-12-31	$231,404
Value of fidelity bond covering the plan	2015-12-31	$250,000
Other income received	2015-12-31	$7,091
Net income (gross income less expenses)	2015-12-31	$-231,404
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$231,404
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$531
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$237,964
2014 : IDAHO PAIN MEDICINE 401K PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$20,318
Expenses. Total of all expenses incurred	2014-12-31	$50,303
Benefits paid (including direct rollovers)	2014-12-31	$48,229
Total plan assets at end of year	2014-12-31	$231,404
Total plan assets at beginning of year	2014-12-31	$261,389
Value of fidelity bond covering the plan	2014-12-31	$250,000
Other income received	2014-12-31	$20,318
Net income (gross income less expenses)	2014-12-31	$-29,985
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$231,404
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$261,389
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$2,074
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$48,229
2013 : IDAHO PAIN MEDICINE 401K PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$4,600
Total income from all sources	2013-12-31	$54,471
Expenses. Total of all expenses incurred	2013-12-31	$147,240
Benefits paid (including direct rollovers)	2013-12-31	$144,507
Total plan assets at end of year	2013-12-31	$261,389
Total plan assets at beginning of year	2013-12-31	$358,758
Value of fidelity bond covering the plan	2013-12-31	$250,000
Other income received	2013-12-31	$54,471
Net income (gross income less expenses)	2013-12-31	$-92,769
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$261,389
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$354,158
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$2,733
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$144,507
2012 : IDAHO PAIN MEDICINE 401K PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$4,600
Total income from all sources	2012-12-31	$32,223
Expenses. Total of all expenses incurred	2012-12-31	$44,874
Benefits paid (including direct rollovers)	2012-12-31	$44,874
Total plan assets at end of year	2012-12-31	$358,758
Total plan assets at beginning of year	2012-12-31	$366,809
Value of fidelity bond covering the plan	2012-12-31	$250,000
Other income received	2012-12-31	$32,223
Net income (gross income less expenses)	2012-12-31	$-12,651
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$354,158
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$366,809
2011 : IDAHO PAIN MEDICINE 401K PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-2,635
Expenses. Total of all expenses incurred	2011-12-31	$1,403
Benefits paid (including direct rollovers)	2011-12-31	$1,403
Total plan assets at end of year	2011-12-31	$366,809
Total plan assets at beginning of year	2011-12-31	$370,847
Value of fidelity bond covering the plan	2011-12-31	$250,000
Other income received	2011-12-31	$-2,635
Net income (gross income less expenses)	2011-12-31	$-4,038
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$366,809
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$370,847
2010 : IDAHO PAIN MEDICINE 401K PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$111,531
Total plan assets at end of year	2010-12-31	$370,847
Total plan assets at beginning of year	2010-12-31	$259,316
Value of fidelity bond covering the plan	2010-12-31	$250,000
Total contributions received or receivable from participants	2010-12-31	$22,000
Other income received	2010-12-31	$14,291
Net income (gross income less expenses)	2010-12-31	$111,531
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$370,847
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$259,316
Total contributions received or receivable from employer(s)	2010-12-31	$75,240

Form 5500 Responses for IDAHO PAIN MEDICINE 401K PLAN

2015: IDAHO PAIN MEDICINE 401K PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	This submission is the final filing	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: IDAHO PAIN MEDICINE 401K PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: IDAHO PAIN MEDICINE 401K PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: IDAHO PAIN MEDICINE 401K PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: IDAHO PAIN MEDICINE 401K PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: IDAHO PAIN MEDICINE 401K PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: IDAHO PAIN MEDICINE 401K PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	IDAHO PAIN MEDICINE, LLP
Employer identification number (EIN):	208182831
NAIC Classification:	621498
NAIC Description:	All Other Outpatient Care Centers

Plan id#	Filing Submission Date	Name of Administrator
001	2015-01-01	SHANE MAXWELL
001	2014-01-01
001	2013-01-01
001	2012-01-01	SHANE MAXWELL
001	2011-01-01	SHANE MAXWELL
001	2010-01-01	RICHARD DUBOSE
001	2009-01-01	RICHARD DUBOSE