401k Plan data: KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. plan

KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 401k Plan overview

Plan Name	KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC.
Plan identification number	003

KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related Code section 401(h) arrangement - Plan contains separate accounts under Code section 401(h) to provide employee health benefits. Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).

401k Sponsoring company profile

OHIO PERMANENTE MEDICAL GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name: OHIO PERMANENTE MEDICAL GROUP, INC.

Employer identification number (EIN): 341355001

NAIC Classification: 621491
NAIC Description: HMO Medical Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2014-01-01 FILED WITH AUTHORIZED SIGNATURE
003 2013-01-01 HARRIET E GUBERMAN
003 2012-01-01 HARRIET E GUBERMAN
003 2011-01-01 HARRIET E GUBERMAN
003 2010-01-01 HARRIET GUBERMAN
003 2009-01-01 HARRIET E. GUBERMAN

Plan id#	Filing Submission Date	Name of Administrator
003	2014-01-01	FILED WITH AUTHORIZED SIGNATURE
003	2013-01-01	HARRIET E GUBERMAN
003	2012-01-01	HARRIET E GUBERMAN
003	2011-01-01	HARRIET E GUBERMAN
003	2010-01-01	HARRIET GUBERMAN
003	2009-01-01	HARRIET E. GUBERMAN

Plan Statistics for KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC.

401k plan membership statisitcs for KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC.

Measure Date Value
2014: KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 2014 401k membership
Total participants, beginning-of-year 2014-01-01 110
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
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 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 2013 401k membership
Total participants, beginning-of-year 2013-01-01 122
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 13
Number of other retired or separated participants entitled to future benefits 2013-01-01 96
Total of all active and inactive participants 2013-01-01 109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 1
Total participants 2013-01-01 110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 2012 401k membership
Total participants, beginning-of-year 2012-01-01 123
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 51
Number of retired or separated participants receiving benefits 2012-01-01 10
Number of other retired or separated participants entitled to future benefits 2012-01-01 60
Total of all active and inactive participants 2012-01-01 121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 2011 401k membership
Total participants, beginning-of-year 2011-01-01 126
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 58
Number of retired or separated participants receiving benefits 2011-01-01 9
Number of other retired or separated participants entitled to future benefits 2011-01-01 55
Total of all active and inactive participants 2011-01-01 122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 3
2010: KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 2010 401k membership
Total participants, beginning-of-year 2010-01-01 123
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 62
Number of retired or separated participants receiving benefits 2010-01-01 8
Number of other retired or separated participants entitled to future benefits 2010-01-01 54
Total of all active and inactive participants 2010-01-01 124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 2
Total participants 2010-01-01 126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 2009 401k membership
Total participants, beginning-of-year 2009-01-01 122
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 58
Number of retired or separated participants receiving benefits 2009-01-01 7
Number of other retired or separated participants entitled to future benefits 2009-01-01 56
Total of all active and inactive participants 2009-01-01 121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 2
Total participants 2009-01-01 123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 4

Measure	Date	Value
2014: KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 2014 401k membership
Total participants, beginning-of-year	2014-01-01	110
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
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	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 2013 401k membership
Total participants, beginning-of-year	2013-01-01	122
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	13
Number of other retired or separated participants entitled to future benefits	2013-01-01	96
Total of all active and inactive participants	2013-01-01	109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	1
Total participants	2013-01-01	110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 2012 401k membership
Total participants, beginning-of-year	2012-01-01	123
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	51
Number of retired or separated participants receiving benefits	2012-01-01	10
Number of other retired or separated participants entitled to future benefits	2012-01-01	60
Total of all active and inactive participants	2012-01-01	121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 2011 401k membership
Total participants, beginning-of-year	2011-01-01	126
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	58
Number of retired or separated participants receiving benefits	2011-01-01	9
Number of other retired or separated participants entitled to future benefits	2011-01-01	55
Total of all active and inactive participants	2011-01-01	122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	3
2010: KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 2010 401k membership
Total participants, beginning-of-year	2010-01-01	123
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	62
Number of retired or separated participants receiving benefits	2010-01-01	8
Number of other retired or separated participants entitled to future benefits	2010-01-01	54
Total of all active and inactive participants	2010-01-01	124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	2
Total participants	2010-01-01	126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 2009 401k membership
Total participants, beginning-of-year	2009-01-01	122
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	58
Number of retired or separated participants receiving benefits	2009-01-01	7
Number of other retired or separated participants entitled to future benefits	2009-01-01	56
Total of all active and inactive participants	2009-01-01	121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	2
Total participants	2009-01-01	123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	4

Financial Data on KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC.

Measure	Date	Value
2014 : KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-08-31	$0
Total transfer of assets from this plan	2014-08-31	$10,621
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-08-31	$68,653
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-08-31	$1,624,607
Total income from all sources (including contributions)	2014-08-31	$1,792,754
Total loss/gain on sale of assets	2014-08-31	$0
Total of all expenses incurred	2014-08-31	$11,371,692
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-08-31	$11,371,692
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-08-31	$1,616,570
Value of total assets at end of year	2014-08-31	$68,653
Value of total assets at beginning of year	2014-08-31	$11,214,166
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-08-31	$0
Total interest from all sources	2014-08-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-08-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-08-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2014-08-31	$0
Was this plan covered by a fidelity bond	2014-08-31	Yes
Value of fidelity bond cover	2014-08-31	$71,500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-08-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-08-31	No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-08-31	$68,653
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-08-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-08-31	No
Value of net income/loss	2014-08-31	$-9,578,938
Value of net assets at end of year (total assets less liabilities)	2014-08-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2014-08-31	$9,589,559
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-08-31	No
Were any leases to which the plan was party in default or uncollectible	2014-08-31	No
Assets. Value of investments in 103.12 investment entities at end of year	2014-08-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2014-08-31	$11,214,166
Net gain/loss from 103.12 investment entities	2014-08-31	$176,184
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-08-31	Yes
Was there a failure to transmit to the plan any participant contributions	2014-08-31	No
Has the plan failed to provide any benefit when due under the plan	2014-08-31	No
Contributions received in cash from employer	2014-08-31	$1,616,570
Employer contributions (assets) at end of year	2014-08-31	$68,653
Employer contributions (assets) at beginning of year	2014-08-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-08-31	$11,371,692
Liabilities. Value of benefit claims payable at end of year	2014-08-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2014-08-31	$1,624,607
Did the plan have assets held for investment	2014-08-31	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	2014-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-08-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-08-31	No
Opinion of an independent qualified public accountant for this plan	2014-08-31	Unqualified
Accountancy firm name	2014-08-31	MORRIS DAVIS CHAN & TAN LLP
Accountancy firm EIN	2014-08-31	942214860
2013 : KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$1,624,607
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$2,280,660
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$5,757,233
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$5,757,233
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$2,000,000
Value of total assets at end of year	2013-12-31	$11,214,166
Value of total assets at beginning of year	2013-12-31	$13,066,132
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$0
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$71,500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	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	2013-12-31	No
Value of net income/loss	2013-12-31	$-3,476,573
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$9,589,559
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$13,066,132
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Assets. Value of investments in 103.12 investment entities at end of year	2013-12-31	$11,214,166
Assets. Value of investments in 103.12 investment entities at beginning of year	2013-12-31	$12,066,132
Net gain/loss from 103.12 investment entities	2013-12-31	$280,660
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$2,000,000
Employer contributions (assets) at end of year	2013-12-31	$0
Employer contributions (assets) at beginning of year	2013-12-31	$1,000,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$5,757,233
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$1,624,607
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$0
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	MORRIS DAVIS CHAN & TAN LLP
Accountancy firm EIN	2013-12-31	942214860
2012 : KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$2,414,534
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$560,004
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$560,004
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,000,000
Value of total assets at end of year	2012-12-31	$13,066,132
Value of total assets at beginning of year	2012-12-31	$11,211,602
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$0
Total interest from all sources	2012-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$71,500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	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	2012-12-31	No
Value of net income/loss	2012-12-31	$1,854,530
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$13,066,132
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$11,211,602
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Assets. Value of investments in 103.12 investment entities at end of year	2012-12-31	$12,066,132
Assets. Value of investments in 103.12 investment entities at beginning of year	2012-12-31	$10,711,602
Net gain/loss from 103.12 investment entities	2012-12-31	$1,414,534
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$1,000,000
Employer contributions (assets) at end of year	2012-12-31	$1,000,000
Employer contributions (assets) at beginning of year	2012-12-31	$500,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$560,004
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	MORRIS DAVIS CHAN & TAN LLP
Accountancy firm EIN	2012-12-31	942214860
2011 : KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$851,731
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$592,262
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$592,262
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$500,000
Value of total assets at end of year	2011-12-31	$11,211,602
Value of total assets at beginning of year	2011-12-31	$10,952,133
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$0
Total interest from all sources	2011-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$71,500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	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	2011-12-31	No
Value of net income/loss	2011-12-31	$259,469
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$11,211,602
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$10,952,133
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Assets. Value of investments in 103.12 investment entities at end of year	2011-12-31	$10,711,602
Assets. Value of investments in 103.12 investment entities at beginning of year	2011-12-31	$9,952,133
Net gain/loss from 103.12 investment entities	2011-12-31	$351,731
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$500,000
Employer contributions (assets) at end of year	2011-12-31	$500,000
Employer contributions (assets) at beginning of year	2011-12-31	$1,000,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$592,262
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	MORRIS, DAVIS, & CHAN LLP
Accountancy firm EIN	2011-12-31	942214860
2010 : KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$333,514
Total income from all sources (including contributions)	2010-12-31	$1,982,684
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$544,479
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$544,479
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,000,000
Value of total assets at end of year	2010-12-31	$10,952,133
Value of total assets at beginning of year	2010-12-31	$9,847,442
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$0
Total interest from all sources	2010-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$71,500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	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	2010-12-31	No
Value of net income/loss	2010-12-31	$1,438,205
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$10,952,133
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$9,513,928
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in master investment trust accounts at end of year	2010-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2010-12-31	$9,347,442
Assets. Value of investments in 103.12 investment entities at end of year	2010-12-31	$9,952,133
Assets. Value of investments in 103.12 investment entities at beginning of year	2010-12-31	$0
Net gain/loss from 103.12 investment entities	2010-12-31	$982,684
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$1,000,000
Employer contributions (assets) at end of year	2010-12-31	$1,000,000
Employer contributions (assets) at beginning of year	2010-12-31	$500,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$544,479
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	2010-12-31	No
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$333,514
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	MORRIS, DAVIS, AND CHAN LLP
Accountancy firm EIN	2010-12-31	942214860
2009 : KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC.

2014: KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 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	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 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: KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 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: KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 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
2010: KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: KAISER PERMANENTE SALARIED RETIREMENT PLAN FOR OPMG, INC. 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	OHIO PERMANENTE MEDICAL GROUP, INC.
Employer identification number (EIN):	341355001
NAIC Classification:	621491
NAIC Description:	HMO Medical Centers