401k Plan data: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN plan

PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN
Plan identification number	001

PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING 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.
Plan covering Self-Employed individuals.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. has sponsored the creation of one or more 401k plans.

Company Name: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C.

Employer identification number (EIN): 205362582

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 TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01 FARIS ABUSHARIF, M.D. FARIS ABUSHARIF, M.D. 2017-10-11
001 2015-01-01 FARIS ABUSHARIF, M.D. FARIS ABUSHARIF, M.D. 2016-07-27
001 2014-01-01 FARIS ABUSHARIF, M.D. FARIS ABUSHARIF, M.D. 2015-07-21
001 2013-01-01 FARIS ABUSHARIF, M.D. FARIS ABUSHARIF, M.D. 2014-10-09
001 2012-01-01 FARIS ABUSHARIF, M.D. FARIS ABUSHARIF, M.D. 2013-06-26
001 2011-01-01 FARIS ABUSHARIF, M.D. FARIS ABUSHARIF, M.D. 2012-07-17
001 2009-01-01 FARIS ABUSHARIF, M.D. FARIS ABUSHARIF, M.D. 2010-07-20

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2016-01-01	FARIS ABUSHARIF, M.D.	FARIS ABUSHARIF, M.D.	2017-10-11
001	2015-01-01	FARIS ABUSHARIF, M.D.	FARIS ABUSHARIF, M.D.	2016-07-27
001	2014-01-01	FARIS ABUSHARIF, M.D.	FARIS ABUSHARIF, M.D.	2015-07-21
001	2013-01-01	FARIS ABUSHARIF, M.D.	FARIS ABUSHARIF, M.D.	2014-10-09
001	2012-01-01	FARIS ABUSHARIF, M.D.	FARIS ABUSHARIF, M.D.	2013-06-26
001	2011-01-01	FARIS ABUSHARIF, M.D.	FARIS ABUSHARIF, M.D.	2012-07-17
001	2009-01-01	FARIS ABUSHARIF, M.D.	FARIS ABUSHARIF, M.D.	2010-07-20

Plan Statistics for PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN

Measure Date Value
2016: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 15
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 2
Total of all active and inactive participants 2016-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 17
Number of participants with account balances 2016-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 12
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 2
Total of all active and inactive participants 2015-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 14
Number of participants with account balances 2015-01-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 4
2014: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 11
Number of retired or separated participants receiving benefits 2014-01-01 1
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 12
Number of participants with account balances 2014-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING 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 10
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 1
Total of all active and inactive participants 2013-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 11
Number of participants with account balances 2013-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING 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 10
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 1
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: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING 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 11
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 0
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
2009: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 10
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 10
Number of participants with account balances 2009-01-01 10

Measure	Date	Value
2016: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	15
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	2
Total of all active and inactive participants	2016-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	17
Number of participants with account balances	2016-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	12
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	2
Total of all active and inactive participants	2015-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	14
Number of participants with account balances	2015-01-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	4
2014: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	11
Number of retired or separated participants receiving benefits	2014-01-01	1
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	12
Number of participants with account balances	2014-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING 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	10
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	1
Total of all active and inactive participants	2013-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	11
Number of participants with account balances	2013-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING 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	10
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	1
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: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING 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	11
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	0
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
2009: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	10
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	10
Number of participants with account balances	2009-01-01	10

Financial Data on PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2016 : PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$126,409
Expenses. Total of all expenses incurred	2016-12-31	$135
Total plan assets at end of year	2016-12-31	$1,160,885
Total plan assets at beginning of year	2016-12-31	$1,034,611
Value of fidelity bond covering the plan	2016-12-31	$150,000
Total contributions received or receivable from participants	2016-12-31	$42,431
Expenses. Other expenses not covered elsewhere	2016-12-31	$135
Other income received	2016-12-31	$50,797
Net income (gross income less expenses)	2016-12-31	$126,274
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$1,160,885
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,034,611
Assets. Value of participant loans	2016-12-31	$1,722
Total contributions received or receivable from employer(s)	2016-12-31	$33,181
2015 : PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$160,623
Expenses. Total of all expenses incurred	2015-12-31	$161,021
Benefits paid (including direct rollovers)	2015-12-31	$160,846
Total plan assets at end of year	2015-12-31	$1,034,611
Total plan assets at beginning of year	2015-12-31	$1,035,009
Value of fidelity bond covering the plan	2015-12-31	$135,000
Total contributions received or receivable from participants	2015-12-31	$42,414
Expenses. Other expenses not covered elsewhere	2015-12-31	$175
Other income received	2015-12-31	$-5,163
Net income (gross income less expenses)	2015-12-31	$-398
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,034,611
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,035,009
Assets. Value of participant loans	2015-12-31	$926
Total contributions received or receivable from employer(s)	2015-12-31	$123,372
2014 : PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$184,170
Expenses. Total of all expenses incurred	2014-12-31	$163,601
Benefits paid (including direct rollovers)	2014-12-31	$163,551
Total plan assets at end of year	2014-12-31	$1,035,009
Total plan assets at beginning of year	2014-12-31	$1,014,440
Value of fidelity bond covering the plan	2014-12-31	$135,000
Total contributions received or receivable from participants	2014-12-31	$32,946
Expenses. Other expenses not covered elsewhere	2014-12-31	$50
Other income received	2014-12-31	$52,938
Net income (gross income less expenses)	2014-12-31	$20,569
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,035,009
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,014,440
Assets. Value of participant loans	2014-12-31	$1,561
Total contributions received or receivable from employer(s)	2014-12-31	$98,286
2013 : PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$260,718
Expenses. Total of all expenses incurred	2013-12-31	$50
Total plan assets at end of year	2013-12-31	$1,014,440
Total plan assets at beginning of year	2013-12-31	$753,772
Value of fidelity bond covering the plan	2013-12-31	$135,000
Total contributions received or receivable from participants	2013-12-31	$42,411
Expenses. Other expenses not covered elsewhere	2013-12-31	$50
Other income received	2013-12-31	$146,747
Net income (gross income less expenses)	2013-12-31	$260,668
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,014,440
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$753,772
Assets. Value of participant loans	2013-12-31	$2,247
Total contributions received or receivable from employer(s)	2013-12-31	$71,560
2012 : PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$186,454
Expenses. Total of all expenses incurred	2012-12-31	$85
Total plan assets at end of year	2012-12-31	$753,772
Total plan assets at beginning of year	2012-12-31	$567,403
Value of fidelity bond covering the plan	2012-12-31	$100,000
Total contributions received or receivable from participants	2012-12-31	$44,762
Expenses. Other expenses not covered elsewhere	2012-12-31	$85
Other income received	2012-12-31	$70,779
Net income (gross income less expenses)	2012-12-31	$186,369
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$753,772
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$567,403
Assets. Value of participant loans	2012-12-31	$3,000
Total contributions received or receivable from employer(s)	2012-12-31	$70,913
2011 : PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$98,802
Expenses. Total of all expenses incurred	2011-12-31	$2,436
Benefits paid (including direct rollovers)	2011-12-31	$2,436
Total plan assets at end of year	2011-12-31	$567,403
Total plan assets at beginning of year	2011-12-31	$471,037
Value of fidelity bond covering the plan	2011-12-31	$75,000
Total contributions received or receivable from participants	2011-12-31	$46,324
Other income received	2011-12-31	$-16,467
Net income (gross income less expenses)	2011-12-31	$96,366
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$567,403
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$471,037
Total contributions received or receivable from employer(s)	2011-12-31	$68,945
2010 : PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$145,326
Expenses. Total of all expenses incurred	2010-12-31	$1,063
Benefits paid (including direct rollovers)	2010-12-31	$1,063
Total plan assets at end of year	2010-12-31	$471,037
Total plan assets at beginning of year	2010-12-31	$326,774
Value of fidelity bond covering the plan	2010-12-31	$60,000
Total contributions received or receivable from participants	2010-12-31	$43,208
Other income received	2010-12-31	$31,803
Net income (gross income less expenses)	2010-12-31	$144,263
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$471,037
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$326,774
Total contributions received or receivable from employer(s)	2010-12-31	$70,315

Form 5500 Responses for PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN

2016: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Mulitple employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Mulitple employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Mulitple employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Mulitple employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C. 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	PAIN TREATMENT CENTERS OF ILLINOIS, L.L.C.
Employer identification number (EIN):	205362582
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)