PUGET SOUND FAMILY PHYSICIANS LTD PLAN 401k Plan overview

PUGET SOUND FAMILY PHYSICIANS LTD PLAN Benefits

401k Sponsoring company profile

Company Name:	PUGET SOUND FAMILY PHYSICIANS
Employer identification number (EIN):	911625339
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
503	2015-01-01	HEATHER CULVER
503	2014-01-01	HEATHER CULVER
503	2013-01-01	HEATHER CULVER
503	2012-01-01	HEATHER CULVER
503	2011-01-01	HEATHER CULVER		HEATHER CULVER	2012-06-15
503	2009-01-01	MARCY SHIMADA		MARCY SHIMADA	2010-07-21

Plan Statistics for PUGET SOUND FAMILY PHYSICIANS LTD PLAN

Measure	Date	Value
2015: PUGET SOUND FAMILY PHYSICIANS LTD PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	138
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	131
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	0
Total of all active and inactive participants	2015-01-01	131
2014: PUGET SOUND FAMILY PHYSICIANS LTD PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	128
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	138
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	138
2013: PUGET SOUND FAMILY PHYSICIANS LTD PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	151
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	141
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	0
Total of all active and inactive participants	2013-01-01	141
2012: PUGET SOUND FAMILY PHYSICIANS LTD PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	181
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	180
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	0
Total of all active and inactive participants	2012-01-01	180
2011: PUGET SOUND FAMILY PHYSICIANS LTD PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	186
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	181
Total of all active and inactive participants	2011-01-01	181
2009: PUGET SOUND FAMILY PHYSICIANS LTD PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	155
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	190
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	190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0

Form 5500 Responses for PUGET SOUND FAMILY PHYSICIANS LTD PLAN

Insurance Providers Used on plan

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• PUGET SOUND BENEFITS TRUST [EIN = 916028312]
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• PUGET SOUND GASTROENTEROLOGY HEALTH & WELFARE PLAN [EIN = 911123468]
• PUGET SOUND ELECTRICAL WORKERS PENSION PLAN [EIN = 916180333]
• PUGET SOUND REGIONAL SERVICES WELFARE PLAN [EIN = 911296595]
• PUGET SOUND COOPERATIVE CREDIT UNION 401(K) PLAN [EIN = 910170377]
• PUGET SOUND ENERGY, INC. GROUP BENEFITS PLAN [EIN = 910374630]
• PUGET SOUND PIPE & SUPPLY CO., INC. RETIREMENT PLAN [EIN = 910979228]
• PUGET SOUND GASTROENTEROLOGY, P.S. 401(K) PROFIT SHARING PLAN AND TRUST [EIN = 911123468]
• PUGET SOUND PERSONNEL, INC. 401(K) PLAN [EIN = 911274920]
• PUGET SOUND ENERGY RETIREE MEDICAL PLAN [EIN = 910374630]
• PUGET SOUND PIPE AND SUPPLY LIFE AND LTD [EIN = 910979228]
• PUGET SOUND PLASTIC SURGERY, P.S. 401(K) RETIREMENT SAVINGS PLAN [EIN = 911883053]
• PUGET SOUND TITLE COMPANY 401(K) PROFIT SHARING PLAN [EIN = 911289414]
• PUGET SOUND DERMATOLOGY, PLLC 401(K) PLAN [EIN = 263592792]
• PUGET SOUND WOOD WINDOWS INC 401(K) PLAN [EIN = 300191041]
• PUGET SOUND DISPATCH 401(K) PL [EIN = 911702934]
• PUGET SOUND AUTOMOBILE DEALERS ASSOCIATION 401(K) PLAN [EIN = 910679057]
• PUGET SOUND PHYSICIANS, PLLC 401K PLAN [EIN = 911692040]
• PUGET SOUND HEARING & BALANCE PROFIT SHARING PLAN [EIN = 911976407]
• PUGET SOUND ASSISTED LIVING INC. 401(K) PLAN [EIN = 911634792]
• PUGET SOUND NEUROLOGY, P.C. 401K PROFIT SHARING PLAN [EIN = 911746593]
• PUGET SOUND ACCOUNTANCY CORP PSC 401 K [EIN = 911335934]
• PUGET SOUND EXPRESS 401(K) PLAN [EIN = 911634064]
• PUGET SOUND SURGICAL CENTER, LLC CASH BALANCE PLAN [EIN = 911687859]
• PUGET SOUND SYSTEMS, INC 401K PROFIT SHARING PLAN [EIN = 200056154]
• PUGET SOUND FLEET SERVICE, INC. RETIREMENT TRUST [EIN = 912086112]
• PUGET SOUND REFINERY FEDERAL CREDIT UNION BASIC 401(K) PLAN AND TRUST [EIN = 910688567]
• PUGET SOUND STEEL COMPANY 401K PLAN [EIN = 910830987]
• PUGET SOUND COMMUNITY SCHOOL GROUP RETIREMENT ANNUITY PLAN - 316102 [EIN = 911646126]
• PUGET SOUND BANK 401(K) PLAN [EIN = 202396486]
• PUGET SOUND COLLECTIONS 401K PLAN [EIN = 911278690]
• PUGET SOUND SURFACERS, INC. PROFIT SHARING TRUST [EIN = 910848297]
• PUGET SOUND WINDOW & DOOR, INC. 401(K) PLAN [EIN = 208077046]
• PUGET SOUND FREIGHT LINES, INC. SAVINGS PLAN AND TRUST [EIN = 916032643]
• PUGET SOUND ANIMAL HOSPITAL FOR SURGERY 401K PLAN [EIN = 911128078]
• PUGET SOUND DENTAL CLINIC 401K PROFIT SHARING PLAN [EIN = 912176817]
• PUGET SOUND FITNESS INC 401(K) PLAN [EIN = 911665808]
• PUGET SOUND CHRISTIAN CLINIC 401 K PROFIT SHARING PLAN TRUST [EIN = 331052418]
• PUGET SOUND HEARING & BALANCE MONEY PURCHASE PLAN [EIN = 911976407]
• PUGET SOUND SURGICAL CENTER, LLC PROFIT SHARING PLAN [EIN = 911687859]
• PUGET SOUND COMMUNTIY SCHOOL GROUP RETIREMENT ANNUITY PLAN - 316103 [EIN = 911646126]
• PUGET SOUND ACCOUNTANCY CORP. P.S. 401K [EIN = 911335934]
• PUGET SOUND DRUG CORPORATION 401K PROFIT SHARING PLAN [EIN = 910757971]
• PUGET SOUND REPAIR, INC. 401K PLAN [EIN = 911944805]
• PUGET SOUND RADIATION ONCOLOGY, INC., P.S. 401(K) PROFIT SHARING PLAN AND TRUST [EIN = 911465583]
• PUGET SOUND SPECIALTY PHYSICIANS, P.L.L.C. 401(K) PROFIT SHARING PLAN [EIN = 912098279]
• PUGET SOUND SURGICAL, INC. 401(K) PROFIT SHARING PLAN [EIN = 911046416]
• PUGET SOUND BASKETBALL LEAGUES, INC. 401(K) PLAN [EIN = 200385074]
• PUGET SOUND EXCAVATION SERVICES INC 401(K) PLAN [EIN = 453709900]
• PUGET SOUND EXECUTIVE SERVICES, INC. 401(K) PLAN & TRUST [EIN = 911852714]
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• PUGET SOUND KIDNEY CENTERS MEDICAL INSURANCE PLAN [EIN = 911102033]
• PUGET SOUND KIDNEY CENTERS LIFE AND DISABILITY PLAN [EIN = 911102033]
• PUGET SOUND ELECTRICAL WORKERS HEALTHCARE TRUST [EIN = 916029124]
• PUGET SOUND PLASTIC SURGICAL GROUP 401(K) PLAN [EIN = 273685463]
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• PUGET SOUND CAPITAL CORPORATION 401(K) PLAN [EIN = 911199216]
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• PUGET SOUND CONCRETE PUMPING S 401(K) PROFIT SHARING PLAN & TRUST [EIN = 841930024]
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