401k Plan data: PAIN SPECIALISTS OF AMERICA 401(K) PLAN plan

PAIN SPECIALISTS OF AMERICA 401(K) PLAN 401k Plan overview

Plan Name	PAIN SPECIALISTS OF AMERICA 401(K) PLAN
Plan identification number	001

PAIN SPECIALISTS OF AMERICA 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

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.
Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.

401k Sponsoring company profile

ERIC JAMES MILLER, M.D., P.A. has sponsored the creation of one or more 401k plans.

Company Name: ERIC JAMES MILLER, M.D., P.A.

Employer identification number (EIN): 020721955

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 SPECIALISTS OF AMERICA 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2019-01-01
001 2019-01-01
001 2019-01-01
001 2018-01-01 ERIC MILLER 2019-10-11
001 2017-01-01 ERIC MILLER 2018-10-12
001 2016-01-01 ERIC MILLER 2017-10-06
001 2015-01-01
001 2014-01-01 ERIC JAMES MILLER 2015-10-14
001 2013-01-01 ERIC MILLER 2014-10-09

Plan Statistics for PAIN SPECIALISTS OF AMERICA 401(K) PLAN

401k plan membership statisitcs for PAIN SPECIALISTS OF AMERICA 401(K) PLAN

Measure Date Value
2022: PAIN SPECIALISTS OF AMERICA 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 226
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 147
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 63
Total of all active and inactive participants 2022-01-01 210
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 210
Number of participants with account balances 2022-01-01 127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 1
2021: PAIN SPECIALISTS OF AMERICA 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 207
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 171
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 49
Total of all active and inactive participants 2021-01-01 220
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 220
Number of participants with account balances 2021-01-01 127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 2
2020: PAIN SPECIALISTS OF AMERICA 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 170
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 174
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 28
Total of all active and inactive participants 2020-01-01 202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 202
Number of participants with account balances 2020-01-01 109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 2
2019: PAIN SPECIALISTS OF AMERICA 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 140
Number of retired or separated participants receiving benefits 2019-01-01 4
Number of other retired or separated participants entitled to future benefits 2019-01-01 20
Total of all active and inactive participants 2019-01-01 164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 164
Number of participants with account balances 2019-01-01 84
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 10

Measure	Date	Value
2022: PAIN SPECIALISTS OF AMERICA 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	226
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	147
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	63
Total of all active and inactive participants	2022-01-01	210
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	210
Number of participants with account balances	2022-01-01	127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	1
2021: PAIN SPECIALISTS OF AMERICA 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	207
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	171
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	49
Total of all active and inactive participants	2021-01-01	220
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	220
Number of participants with account balances	2021-01-01	127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	2
2020: PAIN SPECIALISTS OF AMERICA 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	170
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	174
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	28
Total of all active and inactive participants	2020-01-01	202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	202
Number of participants with account balances	2020-01-01	109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	2
2019: PAIN SPECIALISTS OF AMERICA 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	140
Number of retired or separated participants receiving benefits	2019-01-01	4
Number of other retired or separated participants entitled to future benefits	2019-01-01	20
Total of all active and inactive participants	2019-01-01	164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	164
Number of participants with account balances	2019-01-01	84
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	10

Financial Data on PAIN SPECIALISTS OF AMERICA 401(K) PLAN

Measure	Date	Value
2022 : PAIN SPECIALISTS OF AMERICA 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$352,110
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$553,329
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$529,226
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,124,877
Value of total assets at end of year	2022-12-31	$3,750,756
Value of total assets at beginning of year	2022-12-31	$3,951,975
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$24,103
Total interest from all sources	2022-12-31	$3,700
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$67,879
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$67,879
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$389,180
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$582,399
Participant contributions at end of year	2022-12-31	$12,945
Participant contributions at beginning of year	2022-12-31	$23,771
Participant contributions at end of year	2022-12-31	$750
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$317,095
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-201,219
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$3,750,756
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$3,951,975
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$7,233
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$3,534,456
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$3,764,419
Interest on participant loans	2022-12-31	$1,468
Income. Interest from loans (other than to participants)	2022-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$202,605
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$103,596
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$103,596
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$2,232
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-844,346
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$225,383
Employer contributions (assets) at end of year	2022-12-31	$0
Employer contributions (assets) at beginning of year	2022-12-31	$60,189
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$529,226
Contract administrator fees	2022-12-31	$16,870
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	SIKICH LLP
Accountancy firm EIN	2022-12-31	363168081
2021 : PAIN SPECIALISTS OF AMERICA 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$1,452,369
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$549,356
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$527,465
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$951,839
Value of total assets at end of year	2021-12-31	$3,951,975
Value of total assets at beginning of year	2021-12-31	$3,048,962
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$21,891
Total interest from all sources	2021-12-31	$1,699
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$57,099
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$57,099
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$304,896
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$616,881
Participant contributions at end of year	2021-12-31	$23,771
Participant contributions at beginning of year	2021-12-31	$49,711
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$41,100
Total non interest bearing cash at end of year	2021-12-31	$0
Total non interest bearing cash at beginning of year	2021-12-31	$22,317
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$903,013
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$3,951,975
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$3,048,962
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$6,871
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$3,764,419
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$2,871,734
Interest on participant loans	2021-12-31	$1,695
Income. Interest from loans (other than to participants)	2021-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$103,596
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$43,358
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$43,358
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$4
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$441,732
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$293,858
Employer contributions (assets) at end of year	2021-12-31	$60,189
Employer contributions (assets) at beginning of year	2021-12-31	$61,842
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$527,465
Contract administrator fees	2021-12-31	$15,020
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	SIKICH LLP
Accountancy firm EIN	2021-12-31	363168081
2020 : PAIN SPECIALISTS OF AMERICA 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$6,084
Total income from all sources (including contributions)	2020-12-31	$1,139,003
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$108,609
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$94,617
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$719,266
Value of total assets at end of year	2020-12-31	$3,048,962
Value of total assets at beginning of year	2020-12-31	$2,024,652
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$13,992
Total interest from all sources	2020-12-31	$3,373
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$48,999
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$48,999
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$74,092
If this is an individual account plan, was there a blackout period	2020-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$455,571
Participant contributions at end of year	2020-12-31	$49,711
Participant contributions at beginning of year	2020-12-31	$29,837
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$16,013
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$163
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$6,084
Administrative expenses (other) incurred	2020-12-31	$5,931
Total non interest bearing cash at end of year	2020-12-31	$22,317
Total non interest bearing cash at beginning of year	2020-12-31	$62,736
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$1,030,394
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$3,048,962
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$2,018,568
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$2,141
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$2,871,734
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$1,910,167
Interest on participant loans	2020-12-31	$3,358
Income. Interest from loans (other than to participants)	2020-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$43,358
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$21,749
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$21,749
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$15
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$367,365
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$247,682
Employer contributions (assets) at end of year	2020-12-31	$61,842
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$94,617
Contract administrator fees	2020-12-31	$5,920
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2020-12-31	Yes
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	SIKICH LLP
Accountancy firm EIN	2020-12-31	363168081
2019 : PAIN SPECIALISTS OF AMERICA 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$6,084
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$19,734
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$19,734
Total income from all sources (including contributions)	2019-12-31	$849,863
Total income from all sources (including contributions)	2019-12-31	$849,863
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$93,669
Total of all expenses incurred	2019-12-31	$93,669
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$81,944
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$81,944
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$509,018
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$509,018
Value of total assets at end of year	2019-12-31	$2,024,652
Value of total assets at end of year	2019-12-31	$2,024,652
Value of total assets at beginning of year	2019-12-31	$1,282,108
Value of total assets at beginning of year	2019-12-31	$1,282,108
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$11,725
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$11,725
Total interest from all sources	2019-12-31	$2,639
Total interest from all sources	2019-12-31	$2,639
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$42,492
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$42,492
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$42,492
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$42,492
Administrative expenses professional fees incurred	2019-12-31	$5,723
Administrative expenses professional fees incurred	2019-12-31	$5,723
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$74,092
Value of fidelity bond cover	2019-12-31	$74,092
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$335,883
Contributions received from participants	2019-12-31	$335,883
Participant contributions at end of year	2019-12-31	$29,837
Participant contributions at end of year	2019-12-31	$29,837
Participant contributions at beginning of year	2019-12-31	$6,971
Participant contributions at beginning of year	2019-12-31	$6,971
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$163
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$163
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$24
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$24
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$6,084
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$6,084
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$19,734
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$19,734
Total non interest bearing cash at end of year	2019-12-31	$62,736
Total non interest bearing cash at end of year	2019-12-31	$62,736
Total non interest bearing cash at beginning of year	2019-12-31	$19,734
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$756,194
Value of net income/loss	2019-12-31	$756,194
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,018,568
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$2,018,568
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,262,374
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$1,262,374
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$6,002
Investment advisory and management fees	2019-12-31	$6,002
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,910,167
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,910,167
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,239,303
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,239,303
Interest on participant loans	2019-12-31	$2,639
Interest on participant loans	2019-12-31	$2,639
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$21,749
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$21,749
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$16,076
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$16,076
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$16,076
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$16,076
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$295,714
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$295,714
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$173,135
Contributions received in cash from employer	2019-12-31	$173,135
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$81,944
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$81,944
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	BKD, LLP
Accountancy firm name	2019-12-31	BKD, LLP
Accountancy firm EIN	2019-12-31	440160260
Accountancy firm EIN	2019-12-31	440160260

Form 5500 Responses for PAIN SPECIALISTS OF AMERICA 401(K) PLAN

2022: PAIN SPECIALISTS OF AMERICA 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: PAIN SPECIALISTS OF AMERICA 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: PAIN SPECIALISTS OF AMERICA 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: PAIN SPECIALISTS OF AMERICA 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	Yes
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	ERIC JAMES MILLER, M.D., P.A.
Employer identification number (EIN):	020721955
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)