401k Plan data: MT. BAKER VISION CLINIC 401(K) PLAN plan

MT. BAKER VISION CLINIC 401(K) PLAN 401k Plan overview

Plan Name	MT. BAKER VISION CLINIC 401(K) PLAN
Plan identification number	001

MT. BAKER VISION CLINIC 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
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

MT. BAKER VISION CLINIC P.L.L.P. has sponsored the creation of one or more 401k plans.

Company Name: MT. BAKER VISION CLINIC P.L.L.P.

Employer identification number (EIN): 910639044

NAIC Classification: 621320
NAIC Description: Offices of Optometrists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MT. BAKER VISION CLINIC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 BRIAN KONING 2023-09-18
001 2021-01-01 BRIAN KONING 2022-07-25
001 2021-01-01
001 2020-01-01 BRIAN KONING 2021-07-14
001 2019-01-01 BRIAN KONING 2020-06-16
001 2018-01-01
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2013-01-01
001 2012-01-01 WAYNE MUSSLEMAN
001 2011-01-01 WAYNE MUSSELMAN
001 2010-01-01 WAYNE MUSSELMAN
001 2009-01-01 WAYNE MUSSELMAN

Plan Statistics for MT. BAKER VISION CLINIC 401(K) PLAN

401k plan membership statisitcs for MT. BAKER VISION CLINIC 401(K) PLAN

Measure Date Value
2021: MT. BAKER VISION CLINIC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 29
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 0
Total participants 2021-01-01 0
Number of participants with account balances 2021-01-01 0
Number of retired or separated participants receiving benefits 2021-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: MT. BAKER VISION CLINIC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 30
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 16
Number of other retired or separated participants entitled to future benefits 2020-01-01 13
Total of all active and inactive participants 2020-01-01 29
Total participants 2020-01-01 29
Number of participants with account balances 2020-01-01 29
2019: MT. BAKER VISION CLINIC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 29
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 17
Number of other retired or separated participants entitled to future benefits 2019-01-01 13
Total of all active and inactive participants 2019-01-01 30
Total participants 2019-01-01 30
Number of participants with account balances 2019-01-01 30
2018: MT. BAKER VISION CLINIC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 28
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 13
Number of other retired or separated participants entitled to future benefits 2018-01-01 16
Total of all active and inactive participants 2018-01-01 29
Total participants 2018-01-01 29
Number of participants with account balances 2018-01-01 29
2017: MT. BAKER VISION CLINIC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 27
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 12
Number of other retired or separated participants entitled to future benefits 2017-01-01 16
Total of all active and inactive participants 2017-01-01 28
Total participants 2017-01-01 28
Number of participants with account balances 2017-01-01 28
2016: MT. BAKER VISION CLINIC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 16
Number of other retired or separated participants entitled to future benefits 2016-01-01 11
Total of all active and inactive participants 2016-01-01 27
Total participants 2016-01-01 27
Number of participants with account balances 2016-01-01 27
2015: MT. BAKER VISION CLINIC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 13
Number of other retired or separated participants entitled to future benefits 2015-01-01 10
Total of all active and inactive participants 2015-01-01 23
Total participants 2015-01-01 23
Number of participants with account balances 2015-01-01 23
2014: MT. BAKER VISION CLINIC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 12
Number of other retired or separated participants entitled to future benefits 2014-01-01 12
Total of all active and inactive participants 2014-01-01 24
Total participants 2014-01-01 24
Number of participants with account balances 2014-01-01 24
2013: MT. BAKER VISION CLINIC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 22
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 15
Number of other retired or separated participants entitled to future benefits 2013-01-01 8
Total of all active and inactive participants 2013-01-01 23
Total participants 2013-01-01 23
Number of participants with account balances 2013-01-01 23
2012: MT. BAKER VISION CLINIC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 22
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 15
Number of other retired or separated participants entitled to future benefits 2012-01-01 7
Total of all active and inactive participants 2012-01-01 22
Total participants 2012-01-01 22
Number of participants with account balances 2012-01-01 22
2011: MT. BAKER VISION CLINIC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 21
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 15
Number of other retired or separated participants entitled to future benefits 2011-01-01 3
Total of all active and inactive participants 2011-01-01 18
Total participants 2011-01-01 18
Number of participants with account balances 2011-01-01 18
2010: MT. BAKER VISION CLINIC 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 19
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 15
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 6
Total of all active and inactive participants 2010-01-01 21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 21
Number of participants with account balances 2010-01-01 21
2009: MT. BAKER VISION CLINIC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 14
Number of other retired or separated participants entitled to future benefits 2009-01-01 5
Total of all active and inactive participants 2009-01-01 19
Total participants 2009-01-01 19
Number of participants with account balances 2009-01-01 19

Measure	Date	Value
2021: MT. BAKER VISION CLINIC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	29
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	0
Total participants	2021-01-01	0
Number of participants with account balances	2021-01-01	0
Number of retired or separated participants receiving benefits	2021-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: MT. BAKER VISION CLINIC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	30
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	16
Number of other retired or separated participants entitled to future benefits	2020-01-01	13
Total of all active and inactive participants	2020-01-01	29
Total participants	2020-01-01	29
Number of participants with account balances	2020-01-01	29
2019: MT. BAKER VISION CLINIC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	29
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	17
Number of other retired or separated participants entitled to future benefits	2019-01-01	13
Total of all active and inactive participants	2019-01-01	30
Total participants	2019-01-01	30
Number of participants with account balances	2019-01-01	30
2018: MT. BAKER VISION CLINIC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	28
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	13
Number of other retired or separated participants entitled to future benefits	2018-01-01	16
Total of all active and inactive participants	2018-01-01	29
Total participants	2018-01-01	29
Number of participants with account balances	2018-01-01	29
2017: MT. BAKER VISION CLINIC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	27
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	12
Number of other retired or separated participants entitled to future benefits	2017-01-01	16
Total of all active and inactive participants	2017-01-01	28
Total participants	2017-01-01	28
Number of participants with account balances	2017-01-01	28
2016: MT. BAKER VISION CLINIC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	16
Number of other retired or separated participants entitled to future benefits	2016-01-01	11
Total of all active and inactive participants	2016-01-01	27
Total participants	2016-01-01	27
Number of participants with account balances	2016-01-01	27
2015: MT. BAKER VISION CLINIC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	13
Number of other retired or separated participants entitled to future benefits	2015-01-01	10
Total of all active and inactive participants	2015-01-01	23
Total participants	2015-01-01	23
Number of participants with account balances	2015-01-01	23
2014: MT. BAKER VISION CLINIC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	12
Number of other retired or separated participants entitled to future benefits	2014-01-01	12
Total of all active and inactive participants	2014-01-01	24
Total participants	2014-01-01	24
Number of participants with account balances	2014-01-01	24
2013: MT. BAKER VISION CLINIC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	22
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	15
Number of other retired or separated participants entitled to future benefits	2013-01-01	8
Total of all active and inactive participants	2013-01-01	23
Total participants	2013-01-01	23
Number of participants with account balances	2013-01-01	23
2012: MT. BAKER VISION CLINIC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	22
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	15
Number of other retired or separated participants entitled to future benefits	2012-01-01	7
Total of all active and inactive participants	2012-01-01	22
Total participants	2012-01-01	22
Number of participants with account balances	2012-01-01	22
2011: MT. BAKER VISION CLINIC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	21
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	15
Number of other retired or separated participants entitled to future benefits	2011-01-01	3
Total of all active and inactive participants	2011-01-01	18
Total participants	2011-01-01	18
Number of participants with account balances	2011-01-01	18
2010: MT. BAKER VISION CLINIC 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	19
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	15
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	6
Total of all active and inactive participants	2010-01-01	21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	21
Number of participants with account balances	2010-01-01	21
2009: MT. BAKER VISION CLINIC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	14
Number of other retired or separated participants entitled to future benefits	2009-01-01	5
Total of all active and inactive participants	2009-01-01	19
Total participants	2009-01-01	19
Number of participants with account balances	2009-01-01	19

Financial Data on MT. BAKER VISION CLINIC 401(K) PLAN

Measure	Date	Value
2021 : MT. BAKER VISION CLINIC 401(K) PLAN 2021 401k financial data
Transfers to/from the plan	2021-12-31	$-861,209
Total income from all sources	2021-12-31	$1,001
Expenses. Total of all expenses incurred	2021-12-31	$32,017
Benefits paid (including direct rollovers)	2021-12-31	$32,017
Total plan assets at end of year	2021-12-31	$0
Total plan assets at beginning of year	2021-12-31	$892,225
Value of fidelity bond covering the plan	2021-12-31	$100,000
Total contributions received or receivable from participants	2021-12-31	$123,467
Contributions received from other sources (not participants or employers)	2021-12-31	$37,696
Other income received	2021-12-31	$1,001
Net income (gross income less expenses)	2021-12-31	$-31,016
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$892,225
Total contributions received or receivable from employer(s)	2021-12-31	$50,303
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$6,088
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : MT. BAKER VISION CLINIC 401(K) PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$174,167
Expenses. Total of all expenses incurred	2020-12-31	$548,982
Benefits paid (including direct rollovers)	2020-12-31	$548,982
Total plan assets at end of year	2020-12-31	$892,225
Total plan assets at beginning of year	2020-12-31	$1,267,040
Value of fidelity bond covering the plan	2020-12-31	$100,000
Other income received	2020-12-31	$129,699
Net income (gross income less expenses)	2020-12-31	$-374,815
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$892,225
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$1,267,040
Total contributions received or receivable from employer(s)	2020-12-31	$44,468
2019 : MT. BAKER VISION CLINIC 401(K) PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$235,977
Expenses. Total of all expenses incurred	2019-12-31	$35,915
Benefits paid (including direct rollovers)	2019-12-31	$35,915
Total plan assets at end of year	2019-12-31	$1,267,040
Total plan assets at beginning of year	2019-12-31	$1,066,978
Value of fidelity bond covering the plan	2019-12-31	$100,000
Other income received	2019-12-31	$186,001
Net income (gross income less expenses)	2019-12-31	$200,062
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$1,267,040
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$1,066,978
Total contributions received or receivable from employer(s)	2019-12-31	$49,976
2018 : MT. BAKER VISION CLINIC 401(K) PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$6,468
Expenses. Total of all expenses incurred	2018-12-31	$49,142
Benefits paid (including direct rollovers)	2018-12-31	$49,092
Total plan assets at end of year	2018-12-31	$1,066,978
Total plan assets at beginning of year	2018-12-31	$1,109,652
Value of fidelity bond covering the plan	2018-12-31	$100,000
Other income received	2018-12-31	$-49,092
Net income (gross income less expenses)	2018-12-31	$-42,674
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$1,066,978
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$1,109,652
Total contributions received or receivable from employer(s)	2018-12-31	$55,560
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$50
2017 : MT. BAKER VISION CLINIC 401(K) PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$171,390
Expenses. Total of all expenses incurred	2017-12-31	$6,000
Benefits paid (including direct rollovers)	2017-12-31	$6,000
Total plan assets at end of year	2017-12-31	$1,109,652
Total plan assets at beginning of year	2017-12-31	$944,262
Value of fidelity bond covering the plan	2017-12-31	$100,000
Other income received	2017-12-31	$135,035
Net income (gross income less expenses)	2017-12-31	$165,390
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$1,109,652
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$944,262
Total contributions received or receivable from employer(s)	2017-12-31	$36,355
2016 : MT. BAKER VISION CLINIC 401(K) PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$67,921
Expenses. Total of all expenses incurred	2016-12-31	$7,365
Benefits paid (including direct rollovers)	2016-12-31	$7,365
Total plan assets at end of year	2016-12-31	$944,262
Total plan assets at beginning of year	2016-12-31	$883,706
Value of fidelity bond covering the plan	2016-12-31	$100,000
Other income received	2016-12-31	$29,475
Net income (gross income less expenses)	2016-12-31	$60,556
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$944,262
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$883,706
Total contributions received or receivable from employer(s)	2016-12-31	$38,446
2015 : MT. BAKER VISION CLINIC 401(K) PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$34,004
Expenses. Total of all expenses incurred	2015-12-31	$15,429
Benefits paid (including direct rollovers)	2015-12-31	$15,379
Total plan assets at end of year	2015-12-31	$883,706
Total plan assets at beginning of year	2015-12-31	$865,131
Value of fidelity bond covering the plan	2015-12-31	$100,000
Other income received	2015-12-31	$5,308
Net income (gross income less expenses)	2015-12-31	$18,575
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$883,706
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$865,131
Total contributions received or receivable from employer(s)	2015-12-31	$28,696
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$50
2014 : MT. BAKER VISION CLINIC 401(K) PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$73,965
Expenses. Total of all expenses incurred	2014-12-31	$6,000
Benefits paid (including direct rollovers)	2014-12-31	$6,000
Total plan assets at end of year	2014-12-31	$865,131
Total plan assets at beginning of year	2014-12-31	$797,166
Value of fidelity bond covering the plan	2014-12-31	$100,000
Other income received	2014-12-31	$41,540
Net income (gross income less expenses)	2014-12-31	$67,965
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$865,131
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$797,166
Total contributions received or receivable from employer(s)	2014-12-31	$32,425
2013 : MT. BAKER VISION CLINIC 401(K) PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$130,049
Expenses. Total of all expenses incurred	2013-12-31	$9,672
Benefits paid (including direct rollovers)	2013-12-31	$9,522
Total plan assets at end of year	2013-12-31	$797,166
Total plan assets at beginning of year	2013-12-31	$676,789
Value of fidelity bond covering the plan	2013-12-31	$100,000
Expenses. Other expenses not covered elsewhere	2013-12-31	$150
Other income received	2013-12-31	$100,816
Net income (gross income less expenses)	2013-12-31	$120,377
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$797,166
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$676,789
Total contributions received or receivable from employer(s)	2013-12-31	$29,233
2012 : MT. BAKER VISION CLINIC 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$75,524
Expenses. Total of all expenses incurred	2012-12-31	$0
Benefits paid (including direct rollovers)	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$676,789
Total plan assets at beginning of year	2012-12-31	$601,265
Value of fidelity bond covering the plan	2012-12-31	$100,000
Other income received	2012-12-31	$43,547
Net income (gross income less expenses)	2012-12-31	$75,524
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$676,789
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$601,265
Total contributions received or receivable from employer(s)	2012-12-31	$31,977
2011 : MT. BAKER VISION CLINIC 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$-529
Expenses. Total of all expenses incurred	2011-12-31	$10,064
Benefits paid (including direct rollovers)	2011-12-31	$9,914
Total plan assets at end of year	2011-12-31	$601,265
Total plan assets at beginning of year	2011-12-31	$611,858
Value of fidelity bond covering the plan	2011-12-31	$100,000
Other income received	2011-12-31	$-23,227
Net income (gross income less expenses)	2011-12-31	$-10,593
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$601,265
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$611,858
Total contributions received or receivable from employer(s)	2011-12-31	$22,698
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$150
2010 : MT. BAKER VISION CLINIC 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$82,390
Expenses. Total of all expenses incurred	2010-12-31	$11,924
Benefits paid (including direct rollovers)	2010-12-31	$11,924
Total plan assets at end of year	2010-12-31	$611,858
Total plan assets at beginning of year	2010-12-31	$541,392
Other income received	2010-12-31	$56,140
Net income (gross income less expenses)	2010-12-31	$70,466
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$611,858
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$541,392
Total contributions received or receivable from employer(s)	2010-12-31	$26,250

Form 5500 Responses for MT. BAKER VISION CLINIC 401(K) PLAN

2021: MT. BAKER VISION CLINIC 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	Yes
2021-01-01	This submission is the final filing	Yes
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: MT. BAKER VISION CLINIC 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: MT. BAKER VISION CLINIC 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: MT. BAKER VISION CLINIC 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: MT. BAKER VISION CLINIC 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: MT. BAKER VISION CLINIC 401(K) 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: MT. BAKER VISION CLINIC 401(K) 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: MT. BAKER VISION CLINIC 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MT. BAKER VISION CLINIC 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MT. BAKER VISION CLINIC 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: MT. BAKER VISION CLINIC 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: MT. BAKER VISION CLINIC 401(K) PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: MT. BAKER VISION CLINIC 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	MT. BAKER VISION CLINIC P.L.L.P.
Employer identification number (EIN):	910639044
NAIC Classification:	621320
NAIC Description:	Offices of Optometrists

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01	BRIAN KONING	2023-09-18
001	2021-01-01	BRIAN KONING	2022-07-25
001	2021-01-01
001	2020-01-01	BRIAN KONING	2021-07-14
001	2019-01-01	BRIAN KONING	2020-06-16
001	2018-01-01
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01
001	2013-01-01
001	2012-01-01	WAYNE MUSSLEMAN
001	2011-01-01	WAYNE MUSSELMAN
001	2010-01-01	WAYNE MUSSELMAN
001	2009-01-01	WAYNE MUSSELMAN