401k Plan data: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN plan

INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 401k Plan overview

Plan Name	INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN
Plan identification number	001

INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC has sponsored the creation of one or more 401k plans.

Company Name: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC

Employer identification number (EIN): 205222381

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01 DALE STEVENS 2022-10-17
001 2020-01-01 DALE STEVENS 2021-10-14
001 2019-01-01 DALE STEVENS 2020-10-15
001 2018-01-01 DALE STEVENS 2019-10-15
001 2017-01-01 DALE STEVENS 2018-10-15
001 2016-01-01 DALE STEVENS 2017-10-16
001 2015-01-01 DALE STEVENS
001 2014-01-01 DALE STEVENS
001 2013-01-01 DALE STEVENS
001 2012-01-01 DALE STEVENS
001 2011-01-01 DALE STEVENS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2021-01-01	DALE STEVENS	2022-10-17
001	2020-01-01	DALE STEVENS	2021-10-14
001	2019-01-01	DALE STEVENS	2020-10-15
001	2018-01-01	DALE STEVENS	2019-10-15
001	2017-01-01	DALE STEVENS	2018-10-15
001	2016-01-01	DALE STEVENS	2017-10-16
001	2015-01-01	DALE STEVENS
001	2014-01-01	DALE STEVENS
001	2013-01-01	DALE STEVENS
001	2012-01-01	DALE STEVENS
001	2011-01-01	DALE STEVENS

Plan Statistics for INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN

401k plan membership statisitcs for INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN

Measure Date Value
2015: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 10
Number of retired or separated participants receiving benefits 2015-01-01 1
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 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 11
Number of participants with account balances 2015-01-01 11
2014: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 8
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 3
Total of all active and inactive participants 2014-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 11
Number of participants with account balances 2014-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 8
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 4
Total of all active and inactive participants 2013-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 12
Number of participants with account balances 2013-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 9
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 2
Total of all active and inactive participants 2012-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 11
Number of participants with account balances 2012-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 7
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 4
Total of all active and inactive participants 2011-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 11
Number of participants with account balances 2011-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2015: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	10
Number of retired or separated participants receiving benefits	2015-01-01	1
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	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	11
Number of participants with account balances	2015-01-01	11
2014: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	8
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	3
Total of all active and inactive participants	2014-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	11
Number of participants with account balances	2014-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	8
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	4
Total of all active and inactive participants	2013-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	12
Number of participants with account balances	2013-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	9
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	2
Total of all active and inactive participants	2012-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	11
Number of participants with account balances	2012-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	7
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	4
Total of all active and inactive participants	2011-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	11
Number of participants with account balances	2011-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN

Measure	Date	Value
2015 : INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$42,913
Expenses. Total of all expenses incurred	2015-12-31	$216,457
Benefits paid (including direct rollovers)	2015-12-31	$216,457
Total plan assets at end of year	2015-12-31	$682,717
Total plan assets at beginning of year	2015-12-31	$856,261
Value of fidelity bond covering the plan	2015-12-31	$120,000
Total contributions received or receivable from participants	2015-12-31	$28,475
Other income received	2015-12-31	$-15,383
Net income (gross income less expenses)	2015-12-31	$-173,544
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$682,717
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$856,261
Total contributions received or receivable from employer(s)	2015-12-31	$29,821
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$-21,422
Expenses. Total of all expenses incurred	2014-12-31	$157,367
Benefits paid (including direct rollovers)	2014-12-31	$157,367
Total plan assets at end of year	2014-12-31	$856,261
Total plan assets at beginning of year	2014-12-31	$1,035,050
Value of fidelity bond covering the plan	2014-12-31	$120,000
Total contributions received or receivable from participants	2014-12-31	$26,350
Other income received	2014-12-31	$-67,951
Net income (gross income less expenses)	2014-12-31	$-178,789
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$856,261
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,035,050
Total contributions received or receivable from employer(s)	2014-12-31	$20,179
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$-54,522
Expenses. Total of all expenses incurred	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$1,035,050
Total plan assets at beginning of year	2013-12-31	$1,089,572
Value of fidelity bond covering the plan	2013-12-31	$120,000
Total contributions received or receivable from participants	2013-12-31	$30,625
Other income received	2013-12-31	$-107,738
Net income (gross income less expenses)	2013-12-31	$-54,522
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,035,050
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,089,572
Total contributions received or receivable from employer(s)	2013-12-31	$22,591
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$-8,366
Expenses. Total of all expenses incurred	2012-12-31	$8,392
Benefits paid (including direct rollovers)	2012-12-31	$8,392
Total plan assets at end of year	2012-12-31	$1,089,572
Total plan assets at beginning of year	2012-12-31	$1,106,330
Value of fidelity bond covering the plan	2012-12-31	$120,000
Total contributions received or receivable from participants	2012-12-31	$30,100
Other income received	2012-12-31	$-65,327
Net income (gross income less expenses)	2012-12-31	$-16,758
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,089,572
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,106,330
Total contributions received or receivable from employer(s)	2012-12-31	$26,861
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-200,752
Expenses. Total of all expenses incurred	2011-12-31	$0
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$1,106,330
Total plan assets at beginning of year	2011-12-31	$1,307,082
Value of fidelity bond covering the plan	2011-12-31	$200,000
Total contributions received or receivable from participants	2011-12-31	$26,540
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-251,213
Net income (gross income less expenses)	2011-12-31	$-200,752
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,106,330
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,307,082
Total contributions received or receivable from employer(s)	2011-12-31	$23,921
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 2010 401k financial data
Total plan liabilities at beginning of year	2010-12-31	$0
Total income from all sources	2010-12-31	$295,711
Expenses. Total of all expenses incurred	2010-12-31	$6,308
Benefits paid (including direct rollovers)	2010-12-31	$6,308
Total plan assets at end of year	2010-12-31	$1,307,082
Total plan assets at beginning of year	2010-12-31	$1,017,679
Value of fidelity bond covering the plan	2010-12-31	$200,000
Total contributions received or receivable from participants	2010-12-31	$32,254
Other income received	2010-12-31	$186,507
Net income (gross income less expenses)	2010-12-31	$289,403
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,307,082
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$1,017,679
Total contributions received or receivable from employer(s)	2010-12-31	$76,950
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0

Form 5500 Responses for INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN

2015: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC
Employer identification number (EIN):	205222381
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)