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

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

Plan Name	INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC CASH BALANCE PLAN
Plan identification number	002

INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC CASH BALANCE PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Cash balance or similar plan - Plan has a "cash balance" formula. For this purpose, a "cash balance" formula is a benefit formula in a defined benefit plan by whatever name (for example, personal account plan, pension equity plan, life cycle plan, cash account plan, etc.) that rather than, or in addition to, expressing the accrued benefit as a life annuity commencing at normal retirement age, defines benefits for each employee in terms more common to a defined contribution plan such as a single sum distribution amount (for example, 10 percent of final average pay times years of service, or the amount of the employee's hypothetical account balance).
Floor-offset plan - Plan benefits are subject to offset for retirement benefits provided by an employer-sponsored defined contribution plan.

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 CASH BALANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01 DALE STEVENS 2023-10-15
002 2021-01-01 DALE STEVENS 2022-10-17
002 2020-01-01 DALE STEVENS 2021-10-15
002 2019-01-01 DALE STEVENS 2020-10-15
002 2018-01-01 DALE STEVENS 2019-10-15
002 2017-01-01 DALE STEVENS 2018-10-15
002 2016-01-01 DALE STEVENS 2017-10-16
002 2015-01-01 DALE STEVENS 2016-10-17
002 2014-01-01 BRET DIRKS 2015-10-15
002 2013-01-01 DALE STEVENS 2014-10-15
002 2012-01-01 DALE STEVENS 2013-10-14
002 2011-01-01 DALE STEVENS 2012-10-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2022-01-01	DALE STEVENS	2023-10-15
002	2021-01-01	DALE STEVENS	2022-10-17
002	2020-01-01	DALE STEVENS	2021-10-15
002	2019-01-01	DALE STEVENS	2020-10-15
002	2018-01-01	DALE STEVENS	2019-10-15
002	2017-01-01	DALE STEVENS	2018-10-15
002	2016-01-01	DALE STEVENS	2017-10-16
002	2015-01-01	DALE STEVENS	2016-10-17
002	2014-01-01	BRET DIRKS	2015-10-15
002	2013-01-01	DALE STEVENS	2014-10-15
002	2012-01-01	DALE STEVENS	2013-10-14
002	2011-01-01	DALE STEVENS	2012-10-15

Plan Statistics for INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC CASH BALANCE PLAN

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

Measure Date Value
2018: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC CASH BALANCE PLAN 2018 401k membership
Market value of plan assets 2018-12-31 762,450
Acturial value of plan assets 2018-12-31 762,450
Funding target for retired participants and beneficiaries receiving payment 2018-12-31 0
Number of terminated vested participants 2018-12-31 2
Fundng target for terminated vested participants 2018-12-31 15,750
Active participant vested funding target 2018-12-31 335,200
Number of active participants 2018-12-31 9
Total funding liabilities for active participants 2018-12-31 335,200
Total participant count 2018-12-31 11
Total funding target for all participants 2018-12-31 350,950
Balance at beginning of prior year after applicable adjustments 2018-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2018-12-31 0
Carryover balanced portion elected for use to offset prior years funding requirement 2018-12-31 0
Prefunding balanced used to offset prior years funding requirement 2018-12-31 0
Amount remaining of carryover balance 2018-12-31 0
Amount remaining of prefunding balance 2018-12-31 0
Present value of excess contributions 2018-12-31 84,321
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2018-12-31 84,321
Balance of carryovers at beginning of current year 2018-12-31 0
Balance of prefunding at beginning of current year 2018-12-31 0
Total employer contributions 2018-12-31 100,000
Total employee contributions 2018-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2018-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2018-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2018-12-31 92,800
Unpaid minimum required contributions for all prior years 2018-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2018-12-31 0
Remaining amount of unpaid minimum required contributions 2018-12-31 0
Minimum required contributions for current year target normal cost 2018-12-31 98,200
Net shortfall amortization installment of oustanding balance 2018-12-31 0
Waiver amortization installment 2018-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2018-12-31 0
Additional cash requirement 2018-12-31 0
Contributions allocatedtoward minimum required contributions for current year 2018-12-31 92,800
Unpaid minimum required contributions for current year 2018-12-31 0
Unpaid minimum required contributions for all years 2018-12-31 0
2017: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC CASH BALANCE PLAN 2017 401k membership
Market value of plan assets 2017-12-31 662,451
Acturial value of plan assets 2017-12-31 662,451
Funding target for retired participants and beneficiaries receiving payment 2017-12-31 0
Number of terminated vested participants 2017-12-31 2
Fundng target for terminated vested participants 2017-12-31 12,721
Active participant vested funding target 2017-12-31 295,925
Number of active participants 2017-12-31 9
Total funding liabilities for active participants 2017-12-31 295,925
Total participant count 2017-12-31 11
Total funding target for all participants 2017-12-31 308,646
Balance at beginning of prior year after applicable adjustments 2017-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2017-12-31 0
Carryover balanced portion elected for use to offset prior years funding requirement 2017-12-31 0
Prefunding balanced used to offset prior years funding requirement 2017-12-31 0
Amount remaining of carryover balance 2017-12-31 0
Amount remaining of prefunding balance 2017-12-31 0
Present value of excess contributions 2017-12-31 72,200
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2017-12-31 72,200
Balance of carryovers at beginning of current year 2017-12-31 0
Balance of prefunding at beginning of current year 2017-12-31 0
Total employer contributions 2017-12-31 96,800
Total employee contributions 2017-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2017-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2017-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2017-12-31 84,321
Unpaid minimum required contributions for all prior years 2017-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2017-12-31 0
Remaining amount of unpaid minimum required contributions 2017-12-31 0
Minimum required contributions for current year target normal cost 2017-12-31 96,800
Net shortfall amortization installment of oustanding balance 2017-12-31 0
Waiver amortization installment 2017-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2017-12-31 0
Additional cash requirement 2017-12-31 0
Contributions allocatedtoward minimum required contributions for current year 2017-12-31 84,321
Unpaid minimum required contributions for current year 2017-12-31 0
Unpaid minimum required contributions for all years 2017-12-31 0
2016: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC CASH BALANCE PLAN 2016 401k membership
Market value of plan assets 2016-12-31 410,845
Acturial value of plan assets 2016-12-31 410,845
Funding target for retired participants and beneficiaries receiving payment 2016-12-31 0
Number of terminated vested participants 2016-12-31 2
Fundng target for terminated vested participants 2016-12-31 7,408
Active participant vested funding target 2016-12-31 166,914
Number of active participants 2016-12-31 7
Total funding liabilities for active participants 2016-12-31 166,914
Total participant count 2016-12-31 9
Total funding target for all participants 2016-12-31 174,322
Balance at beginning of prior year after applicable adjustments 2016-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2016-12-31 0
Carryover balanced portion elected for use to offset prior years funding requirement 2016-12-31 0
Prefunding balanced used to offset prior years funding requirement 2016-12-31 0
Amount remaining of carryover balance 2016-12-31 0
Amount remaining of prefunding balance 2016-12-31 0
Present value of excess contributions 2016-12-31 72,200
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2016-12-31 72,200
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2016-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2016-12-31 0
Balance of carryovers at beginning of current year 2016-12-31 0
Balance of prefunding at beginning of current year 2016-12-31 0
Total employer contributions 2016-12-31 100,000
Total employee contributions 2016-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2016-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2016-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2016-12-31 69,151
Unpaid minimum required contributions for all prior years 2016-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2016-12-31 0
Remaining amount of unpaid minimum required contributions 2016-12-31 0
Minimum required contributions for current year target normal cost 2016-12-31 57,596
Net shortfall amortization installment of oustanding balance 2016-12-31 0
Waiver amortization installment 2016-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2016-12-31 0
Additional cash requirement 2016-12-31 0
Contributions allocatedtoward minimum required contributions for current year 2016-12-31 69,151
Unpaid minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for all years 2016-12-31 0

Measure	Date	Value
2018: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC CASH BALANCE PLAN 2018 401k membership
Market value of plan assets	2018-12-31	762,450
Acturial value of plan assets	2018-12-31	762,450
Funding target for retired participants and beneficiaries receiving payment	2018-12-31	0
Number of terminated vested participants	2018-12-31	2
Fundng target for terminated vested participants	2018-12-31	15,750
Active participant vested funding target	2018-12-31	335,200
Number of active participants	2018-12-31	9
Total funding liabilities for active participants	2018-12-31	335,200
Total participant count	2018-12-31	11
Total funding target for all participants	2018-12-31	350,950
Balance at beginning of prior year after applicable adjustments	2018-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2018-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2018-12-31	0
Prefunding balanced used to offset prior years funding requirement	2018-12-31	0
Amount remaining of carryover balance	2018-12-31	0
Amount remaining of prefunding balance	2018-12-31	0
Present value of excess contributions	2018-12-31	84,321
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2018-12-31	84,321
Balance of carryovers at beginning of current year	2018-12-31	0
Balance of prefunding at beginning of current year	2018-12-31	0
Total employer contributions	2018-12-31	100,000
Total employee contributions	2018-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2018-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2018-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2018-12-31	92,800
Unpaid minimum required contributions for all prior years	2018-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2018-12-31	0
Remaining amount of unpaid minimum required contributions	2018-12-31	0
Minimum required contributions for current year target normal cost	2018-12-31	98,200
Net shortfall amortization installment of oustanding balance	2018-12-31	0
Waiver amortization installment	2018-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2018-12-31	0
Additional cash requirement	2018-12-31	0
Contributions allocatedtoward minimum required contributions for current year	2018-12-31	92,800
Unpaid minimum required contributions for current year	2018-12-31	0
Unpaid minimum required contributions for all years	2018-12-31	0
2017: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC CASH BALANCE PLAN 2017 401k membership
Market value of plan assets	2017-12-31	662,451
Acturial value of plan assets	2017-12-31	662,451
Funding target for retired participants and beneficiaries receiving payment	2017-12-31	0
Number of terminated vested participants	2017-12-31	2
Fundng target for terminated vested participants	2017-12-31	12,721
Active participant vested funding target	2017-12-31	295,925
Number of active participants	2017-12-31	9
Total funding liabilities for active participants	2017-12-31	295,925
Total participant count	2017-12-31	11
Total funding target for all participants	2017-12-31	308,646
Balance at beginning of prior year after applicable adjustments	2017-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2017-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2017-12-31	0
Prefunding balanced used to offset prior years funding requirement	2017-12-31	0
Amount remaining of carryover balance	2017-12-31	0
Amount remaining of prefunding balance	2017-12-31	0
Present value of excess contributions	2017-12-31	72,200
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2017-12-31	72,200
Balance of carryovers at beginning of current year	2017-12-31	0
Balance of prefunding at beginning of current year	2017-12-31	0
Total employer contributions	2017-12-31	96,800
Total employee contributions	2017-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2017-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2017-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2017-12-31	84,321
Unpaid minimum required contributions for all prior years	2017-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2017-12-31	0
Remaining amount of unpaid minimum required contributions	2017-12-31	0
Minimum required contributions for current year target normal cost	2017-12-31	96,800
Net shortfall amortization installment of oustanding balance	2017-12-31	0
Waiver amortization installment	2017-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2017-12-31	0
Additional cash requirement	2017-12-31	0
Contributions allocatedtoward minimum required contributions for current year	2017-12-31	84,321
Unpaid minimum required contributions for current year	2017-12-31	0
Unpaid minimum required contributions for all years	2017-12-31	0
2016: INLAND NORTHWEST SPINE AND NEUROSURGERY, PLLC CASH BALANCE PLAN 2016 401k membership
Market value of plan assets	2016-12-31	410,845
Acturial value of plan assets	2016-12-31	410,845
Funding target for retired participants and beneficiaries receiving payment	2016-12-31	0
Number of terminated vested participants	2016-12-31	2
Fundng target for terminated vested participants	2016-12-31	7,408
Active participant vested funding target	2016-12-31	166,914
Number of active participants	2016-12-31	7
Total funding liabilities for active participants	2016-12-31	166,914
Total participant count	2016-12-31	9
Total funding target for all participants	2016-12-31	174,322
Balance at beginning of prior year after applicable adjustments	2016-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2016-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2016-12-31	0
Prefunding balanced used to offset prior years funding requirement	2016-12-31	0
Amount remaining of carryover balance	2016-12-31	0
Amount remaining of prefunding balance	2016-12-31	0
Present value of excess contributions	2016-12-31	72,200
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-31	72,200
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2016-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2016-12-31	0
Balance of carryovers at beginning of current year	2016-12-31	0
Balance of prefunding at beginning of current year	2016-12-31	0
Total employer contributions	2016-12-31	100,000
Total employee contributions	2016-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2016-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2016-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-31	69,151
Unpaid minimum required contributions for all prior years	2016-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2016-12-31	0
Remaining amount of unpaid minimum required contributions	2016-12-31	0
Minimum required contributions for current year target normal cost	2016-12-31	57,596
Net shortfall amortization installment of oustanding balance	2016-12-31	0
Waiver amortization installment	2016-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2016-12-31	0
Additional cash requirement	2016-12-31	0
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	69,151
Unpaid minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for all years	2016-12-31	0

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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)