401k Plan data: DEVLIN & HUBERTY PROFIT SHARING PLAN plan

DEVLIN & HUBERTY PROFIT SHARING PLAN 401k Plan overview

Plan Name	DEVLIN & HUBERTY PROFIT SHARING PLAN
Plan identification number	002

DEVLIN & HUBERTY PROFIT SHARING 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.
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.
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

MOSCOW PULLMAN OB/GYN, P.S. has sponsored the creation of one or more 401k plans.

Company Name: MOSCOW PULLMAN OB/GYN, P.S.

Employer identification number (EIN): 910894931

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Additional information about MOSCOW PULLMAN OB/GYN, P.S.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 1973-03-05

Company Identification Number: 600100244

Legal Registered Office Address: 1205 SE PROFESSIONAL MALL BLVD STE 102

PULLMAN
United States of America (USA)
991635423

More information about MOSCOW PULLMAN OB/GYN, P.S.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DEVLIN & HUBERTY PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-10-01 ERIKA BAKER 2023-10-30
002 2021-10-01 ERIKA BAKER 2023-04-18
002 2020-10-01 ERIKA BAKER 2022-06-17 ERIKA BAKER 2022-06-17
002 2019-10-01 ERIKA BAKER 2021-06-30 ERIKA BAKER 2021-06-30
002 2018-10-01 ERIKA BAKER 2020-07-08
002 2017-10-01 ERIKA BAKER 2019-04-23 ERIKA BAKER 2019-04-23
002 2016-10-01 ERIKA BAKER 2018-06-20
002 2015-10-01 ERIKA BAKER 2018-04-20
002 2014-10-01 ERIKA BAKER RIC MINUDRI 2016-02-15
002 2013-10-01 ERIKA BAKER RIC MINUDRI 2014-12-31
002 2012-10-01 ERIKA BAKER RIC MINUDRI 2014-03-27
002 2011-10-01 ERIKA BAKER RIC MINUDRI 2013-02-23
002 2010-10-01 ERIKA BAKER RIC MINUDRI 2012-03-27
002 2009-10-01 ERIKA BAKER RIC MINUDRI 2010-12-07

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2022-10-01	ERIKA BAKER	2023-10-30
002	2021-10-01	ERIKA BAKER	2023-04-18
002	2020-10-01	ERIKA BAKER	2022-06-17	ERIKA BAKER	2022-06-17
002	2019-10-01	ERIKA BAKER	2021-06-30	ERIKA BAKER	2021-06-30
002	2018-10-01	ERIKA BAKER	2020-07-08
002	2017-10-01	ERIKA BAKER	2019-04-23	ERIKA BAKER	2019-04-23
002	2016-10-01	ERIKA BAKER	2018-06-20
002	2015-10-01	ERIKA BAKER	2018-04-20
002	2014-10-01	ERIKA BAKER		RIC MINUDRI	2016-02-15
002	2013-10-01	ERIKA BAKER		RIC MINUDRI	2014-12-31
002	2012-10-01	ERIKA BAKER		RIC MINUDRI	2014-03-27
002	2011-10-01	ERIKA BAKER		RIC MINUDRI	2013-02-23
002	2010-10-01	ERIKA BAKER		RIC MINUDRI	2012-03-27
002	2009-10-01	ERIKA BAKER		RIC MINUDRI	2010-12-07

Plan Statistics for DEVLIN & HUBERTY PROFIT SHARING PLAN

401k plan membership statisitcs for DEVLIN & HUBERTY PROFIT SHARING PLAN

Measure Date Value
2014: DEVLIN & HUBERTY PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 31
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 23
Number of retired or separated participants receiving benefits 2014-10-01 0
Number of other retired or separated participants entitled to future benefits 2014-10-01 6
Total of all active and inactive participants 2014-10-01 29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-10-01 0
Total participants 2014-10-01 29
Number of participants with account balances 2014-10-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-10-01 0
2013: DEVLIN & HUBERTY PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 30
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 24
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 6
Total of all active and inactive participants 2013-10-01 30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 0
Total participants 2013-10-01 30
Number of participants with account balances 2013-10-01 30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-10-01 2
2012: DEVLIN & HUBERTY PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 29
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 24
Number of retired or separated participants receiving benefits 2012-10-01 0
Number of other retired or separated participants entitled to future benefits 2012-10-01 4
Total of all active and inactive participants 2012-10-01 28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 0
Total participants 2012-10-01 28
Number of participants with account balances 2012-10-01 28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-10-01 0
2011: DEVLIN & HUBERTY PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 24
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 22
Number of retired or separated participants receiving benefits 2011-10-01 0
Number of other retired or separated participants entitled to future benefits 2011-10-01 5
Total of all active and inactive participants 2011-10-01 27
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 0
Total participants 2011-10-01 27
Number of participants with account balances 2011-10-01 27
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-10-01 0
2010: DEVLIN & HUBERTY PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-10-01 25
Total number of active participants reported on line 7a of the Form 5500 2010-10-01 15
Number of retired or separated participants receiving benefits 2010-10-01 0
Number of other retired or separated participants entitled to future benefits 2010-10-01 6
Total of all active and inactive participants 2010-10-01 21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-10-01 0
Total participants 2010-10-01 21
Number of participants with account balances 2010-10-01 21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-10-01 4
2009: DEVLIN & HUBERTY PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 24
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 19
Number of retired or separated participants receiving benefits 2009-10-01 0
Number of other retired or separated participants entitled to future benefits 2009-10-01 6
Total of all active and inactive participants 2009-10-01 25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-10-01 0
Total participants 2009-10-01 25
Number of participants with account balances 2009-10-01 25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-10-01 2

Measure	Date	Value
2014: DEVLIN & HUBERTY PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	31
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	23
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	6
Total of all active and inactive participants	2014-10-01	29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-10-01	0
Total participants	2014-10-01	29
Number of participants with account balances	2014-10-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-10-01	0
2013: DEVLIN & HUBERTY PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	30
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	24
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	6
Total of all active and inactive participants	2013-10-01	30
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	0
Total participants	2013-10-01	30
Number of participants with account balances	2013-10-01	30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-10-01	2
2012: DEVLIN & HUBERTY PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	29
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	24
Number of retired or separated participants receiving benefits	2012-10-01	0
Number of other retired or separated participants entitled to future benefits	2012-10-01	4
Total of all active and inactive participants	2012-10-01	28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	0
Total participants	2012-10-01	28
Number of participants with account balances	2012-10-01	28
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-10-01	0
2011: DEVLIN & HUBERTY PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	24
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	22
Number of retired or separated participants receiving benefits	2011-10-01	0
Number of other retired or separated participants entitled to future benefits	2011-10-01	5
Total of all active and inactive participants	2011-10-01	27
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	0
Total participants	2011-10-01	27
Number of participants with account balances	2011-10-01	27
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-10-01	0
2010: DEVLIN & HUBERTY PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-10-01	25
Total number of active participants reported on line 7a of the Form 5500	2010-10-01	15
Number of retired or separated participants receiving benefits	2010-10-01	0
Number of other retired or separated participants entitled to future benefits	2010-10-01	6
Total of all active and inactive participants	2010-10-01	21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-10-01	0
Total participants	2010-10-01	21
Number of participants with account balances	2010-10-01	21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-10-01	4
2009: DEVLIN & HUBERTY PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	24
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	19
Number of retired or separated participants receiving benefits	2009-10-01	0
Number of other retired or separated participants entitled to future benefits	2009-10-01	6
Total of all active and inactive participants	2009-10-01	25
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-10-01	0
Total participants	2009-10-01	25
Number of participants with account balances	2009-10-01	25
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-10-01	2

Financial Data on DEVLIN & HUBERTY PROFIT SHARING PLAN

Measure	Date	Value
2015 : DEVLIN & HUBERTY PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at end of year	2015-09-30	$0
Total plan liabilities at beginning of year	2015-09-30	$12
Total income from all sources	2015-09-30	$185,137
Expenses. Total of all expenses incurred	2015-09-30	$126,773
Benefits paid (including direct rollovers)	2015-09-30	$126,571
Total plan assets at end of year	2015-09-30	$3,928,102
Total plan assets at beginning of year	2015-09-30	$3,869,750
Value of fidelity bond covering the plan	2015-09-30	$500,000
Total contributions received or receivable from participants	2015-09-30	$80,635
Contributions received from other sources (not participants or employers)	2015-09-30	$0
Other income received	2015-09-30	$-84,069
Noncash contributions received	2015-09-30	$0
Net income (gross income less expenses)	2015-09-30	$58,364
Net plan assets at end of year (total assets less liabilities)	2015-09-30	$3,928,102
Net plan assets at beginning of year (total assets less liabilities)	2015-09-30	$3,869,738
Assets. Value of participant loans	2015-09-30	$13,748
Total contributions received or receivable from employer(s)	2015-09-30	$188,571
Value of certain deemed distributions of participant loans	2015-09-30	$0
Value of corrective distributions	2015-09-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-09-30	$202
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-09-30	$0
2014 : DEVLIN & HUBERTY PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-09-30	$12
Total plan liabilities at beginning of year	2014-09-30	$1,500
Total income from all sources	2014-09-30	$563,189
Expenses. Total of all expenses incurred	2014-09-30	$31,156
Benefits paid (including direct rollovers)	2014-09-30	$27,331
Total plan assets at end of year	2014-09-30	$3,869,750
Total plan assets at beginning of year	2014-09-30	$3,339,205
Value of fidelity bond covering the plan	2014-09-30	$850,000
Total contributions received or receivable from participants	2014-09-30	$86,917
Expenses. Other expenses not covered elsewhere	2014-09-30	$0
Contributions received from other sources (not participants or employers)	2014-09-30	$0
Other income received	2014-09-30	$281,620
Noncash contributions received	2014-09-30	$0
Net income (gross income less expenses)	2014-09-30	$532,033
Net plan assets at end of year (total assets less liabilities)	2014-09-30	$3,869,738
Net plan assets at beginning of year (total assets less liabilities)	2014-09-30	$3,337,705
Assets. Value of participant loans	2014-09-30	$15,394
Total contributions received or receivable from employer(s)	2014-09-30	$194,652
Value of certain deemed distributions of participant loans	2014-09-30	$0
Value of corrective distributions	2014-09-30	$95
Expenses. Administrative service providers (salaries,fees and commissions)	2014-09-30	$3,730
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-09-30	$0
2013 : DEVLIN & HUBERTY PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-09-30	$1,500
Total income from all sources	2013-09-30	$549,284
Expenses. Total of all expenses incurred	2013-09-30	$44,865
Benefits paid (including direct rollovers)	2013-09-30	$41,227
Total plan assets at end of year	2013-09-30	$3,339,205
Total plan assets at beginning of year	2013-09-30	$2,833,286
Value of fidelity bond covering the plan	2013-09-30	$850,000
Total contributions received or receivable from participants	2013-09-30	$104,955
Expenses. Other expenses not covered elsewhere	2013-09-30	$0
Contributions received from other sources (not participants or employers)	2013-09-30	$0
Other income received	2013-09-30	$283,166
Noncash contributions received	2013-09-30	$0
Net income (gross income less expenses)	2013-09-30	$504,419
Net plan assets at end of year (total assets less liabilities)	2013-09-30	$3,337,705
Net plan assets at beginning of year (total assets less liabilities)	2013-09-30	$2,833,286
Assets. Value of participant loans	2013-09-30	$782
Total contributions received or receivable from employer(s)	2013-09-30	$161,163
Value of certain deemed distributions of participant loans	2013-09-30	$0
Value of corrective distributions	2013-09-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-09-30	$3,638
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-09-30	$0
2012 : DEVLIN & HUBERTY PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at beginning of year	2012-09-30	$0
Total income from all sources	2012-09-30	$674,888
Expenses. Total of all expenses incurred	2012-09-30	$52,218
Benefits paid (including direct rollovers)	2012-09-30	$48,469
Total plan assets at end of year	2012-09-30	$2,833,286
Total plan assets at beginning of year	2012-09-30	$2,210,616
Value of fidelity bond covering the plan	2012-09-30	$850,000
Total contributions received or receivable from participants	2012-09-30	$79,607
Other income received	2012-09-30	$437,789
Net income (gross income less expenses)	2012-09-30	$622,670
Net plan assets at end of year (total assets less liabilities)	2012-09-30	$2,833,286
Net plan assets at beginning of year (total assets less liabilities)	2012-09-30	$2,210,616
Assets. Value of participant loans	2012-09-30	$7,158
Total contributions received or receivable from employer(s)	2012-09-30	$157,492
Expenses. Administrative service providers (salaries,fees and commissions)	2012-09-30	$3,749
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-09-30	$0
2011 : DEVLIN & HUBERTY PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan	2011-09-30	$0
Total plan liabilities at end of year	2011-09-30	$0
Total plan liabilities at beginning of year	2011-09-30	$0
Total income from all sources	2011-09-30	$152,988
Expenses. Total of all expenses incurred	2011-09-30	$1,251,646
Benefits paid (including direct rollovers)	2011-09-30	$1,248,042
Total plan assets at end of year	2011-09-30	$2,210,616
Total plan assets at beginning of year	2011-09-30	$3,309,274
Value of fidelity bond covering the plan	2011-09-30	$850,000
Total contributions received or receivable from participants	2011-09-30	$81,691
Expenses. Other expenses not covered elsewhere	2011-09-30	$0
Contributions received from other sources (not participants or employers)	2011-09-30	$0
Other income received	2011-09-30	$-70,466
Noncash contributions received	2011-09-30	$0
Net income (gross income less expenses)	2011-09-30	$-1,098,658
Net plan assets at end of year (total assets less liabilities)	2011-09-30	$2,210,616
Net plan assets at beginning of year (total assets less liabilities)	2011-09-30	$3,309,274
Assets. Value of participant loans	2011-09-30	$16,992
Total contributions received or receivable from employer(s)	2011-09-30	$141,763
Value of certain deemed distributions of participant loans	2011-09-30	$0
Value of corrective distributions	2011-09-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2011-09-30	$3,604
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-09-30	$0
2010 : DEVLIN & HUBERTY PROFIT SHARING PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-09-30	$0

Form 5500 Responses for DEVLIN & HUBERTY PROFIT SHARING PLAN

2014: DEVLIN & HUBERTY PROFIT SHARING PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan funding arrangement – Trust	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement - Trust	Yes
2013: DEVLIN & HUBERTY PROFIT SHARING PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan funding arrangement – Trust	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement - Trust	Yes
2012: DEVLIN & HUBERTY PROFIT SHARING PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan funding arrangement – Trust	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement - Trust	Yes
2011: DEVLIN & HUBERTY PROFIT SHARING PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	No
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement - Trust	Yes
2010: DEVLIN & HUBERTY PROFIT SHARING PLAN 2010 form 5500 responses
2010-10-01	Type of plan entity	Single employer plan
2010-10-01	Submission has been amended	No
2010-10-01	This submission is the final filing	No
2010-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-10-01	Plan is a collectively bargained plan	No
2010-10-01	Plan funding arrangement – Insurance	Yes
2010-10-01	Plan funding arrangement – Trust	Yes
2010-10-01	Plan benefit arrangement – Insurance	Yes
2010-10-01	Plan benefit arrangement - Trust	Yes
2009: DEVLIN & HUBERTY PROFIT SHARING PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	No
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement - Trust	Yes

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Company Name:	MOSCOW PULLMAN OB/GYN, P.S.
Employer identification number (EIN):	910894931
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	1973-03-05
Company Identification Number:	600100244
Legal Registered Office Address:	1205 SE PROFESSIONAL MALL BLVD STE 102 PULLMAN United States of America (USA) 991635423