401k Plan data: LA CLINICA 401(K) PLAN plan

LA CLINICA 401(K) PLAN 401k Plan overview

Plan Name	LA CLINICA 401(K) PLAN
Plan identification number	001

LA CLINICA 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.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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

ONE COMMUNITY HEALTH has sponsored the creation of one or more 401k plans.

Company Name: ONE COMMUNITY HEALTH

Employer identification number (EIN): 930910794

NAIC Classification: 621410
NAIC Description: Family Planning Centers

Additional information about ONE COMMUNITY HEALTH

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division

Incorporation Date: 1986-03-12

Company Identification Number: 2450989

Legal Registered Office Address: 849 PACIFIC AVE

HOOD RIVER
United States of America (USA)
97031

More information about ONE COMMUNITY HEALTH

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LA CLINICA 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
001 2022-01-01
001 2021-01-01
001 2020-02-01
001 2019-02-01
001 2018-02-01
001 2018-02-01
001 2017-02-01 HEATHER DEAL-WELLENSTEIN
001 2016-02-01 HEATHER DEAL-WELLENSTEIN 2017-08-30
001 2015-02-01 HEATHER DEAL-WELLENSTEIN 2016-10-05
001 2014-12-01 HEATHER DEAL-WELLENSTEIN 2015-07-28
001 2013-12-01 HEATHER DEAL-WELLENSTEIN 2015-01-26
001 2012-12-01 HEATHER DEAL-WELLENSTEIN 2014-04-10
001 2011-12-01 HEATHER DEAL-WELLENSTEIN 2012-12-19
001 2010-12-01 HEATHER DEAL-WELLENSTEIN 2012-03-02
001 2008-12-01

Plan Statistics for LA CLINICA 401(K) PLAN

401k plan membership statisitcs for LA CLINICA 401(K) PLAN

Measure Date Value
2022: LA CLINICA 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 217
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 220
Number of retired or separated participants receiving benefits 2022-01-01 1
Number of other retired or separated participants entitled to future benefits 2022-01-01 40
Total of all active and inactive participants 2022-01-01 261
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 261
Number of participants with account balances 2022-01-01 253
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: LA CLINICA 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 185
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 177
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 39
Total of all active and inactive participants 2021-01-01 216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 216
Number of participants with account balances 2021-01-01 213
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: LA CLINICA 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-02-01 167
Total number of active participants reported on line 7a of the Form 5500 2020-02-01 150
Number of retired or separated participants receiving benefits 2020-02-01 0
Number of other retired or separated participants entitled to future benefits 2020-02-01 29
Total of all active and inactive participants 2020-02-01 179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-02-01 0
Total participants 2020-02-01 179
Number of participants with account balances 2020-02-01 178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-02-01 0
2019: LA CLINICA 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-02-01 154
Total number of active participants reported on line 7a of the Form 5500 2019-02-01 144
Number of retired or separated participants receiving benefits 2019-02-01 0
Number of other retired or separated participants entitled to future benefits 2019-02-01 20
Total of all active and inactive participants 2019-02-01 164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-02-01 0
Total participants 2019-02-01 164
Number of participants with account balances 2019-02-01 161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-02-01 0
2018: LA CLINICA 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-02-01 142
Total number of active participants reported on line 7a of the Form 5500 2018-02-01 129
Number of retired or separated participants receiving benefits 2018-02-01 0
Number of other retired or separated participants entitled to future benefits 2018-02-01 22
Total of all active and inactive participants 2018-02-01 151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-02-01 0
Total participants 2018-02-01 151
Number of participants with account balances 2018-02-01 148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-02-01 0
2017: LA CLINICA 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-02-01 123
Total number of active participants reported on line 7a of the Form 5500 2017-02-01 133
Number of retired or separated participants receiving benefits 2017-02-01 0
Number of other retired or separated participants entitled to future benefits 2017-02-01 9
Total of all active and inactive participants 2017-02-01 142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-02-01 0
Total participants 2017-02-01 142
Number of participants with account balances 2017-02-01 101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-02-01 0

Measure	Date	Value
2022: LA CLINICA 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	217
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	220
Number of retired or separated participants receiving benefits	2022-01-01	1
Number of other retired or separated participants entitled to future benefits	2022-01-01	40
Total of all active and inactive participants	2022-01-01	261
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	261
Number of participants with account balances	2022-01-01	253
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: LA CLINICA 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	185
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	177
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	39
Total of all active and inactive participants	2021-01-01	216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	216
Number of participants with account balances	2021-01-01	213
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: LA CLINICA 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-02-01	167
Total number of active participants reported on line 7a of the Form 5500	2020-02-01	150
Number of retired or separated participants receiving benefits	2020-02-01	0
Number of other retired or separated participants entitled to future benefits	2020-02-01	29
Total of all active and inactive participants	2020-02-01	179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-02-01	0
Total participants	2020-02-01	179
Number of participants with account balances	2020-02-01	178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-02-01	0
2019: LA CLINICA 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-02-01	154
Total number of active participants reported on line 7a of the Form 5500	2019-02-01	144
Number of retired or separated participants receiving benefits	2019-02-01	0
Number of other retired or separated participants entitled to future benefits	2019-02-01	20
Total of all active and inactive participants	2019-02-01	164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-02-01	0
Total participants	2019-02-01	164
Number of participants with account balances	2019-02-01	161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-02-01	0
2018: LA CLINICA 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-02-01	142
Total number of active participants reported on line 7a of the Form 5500	2018-02-01	129
Number of retired or separated participants receiving benefits	2018-02-01	0
Number of other retired or separated participants entitled to future benefits	2018-02-01	22
Total of all active and inactive participants	2018-02-01	151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-02-01	0
Total participants	2018-02-01	151
Number of participants with account balances	2018-02-01	148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-02-01	0
2017: LA CLINICA 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-02-01	123
Total number of active participants reported on line 7a of the Form 5500	2017-02-01	133
Number of retired or separated participants receiving benefits	2017-02-01	0
Number of other retired or separated participants entitled to future benefits	2017-02-01	9
Total of all active and inactive participants	2017-02-01	142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-02-01	0
Total participants	2017-02-01	142
Number of participants with account balances	2017-02-01	101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-02-01	0

Financial Data on LA CLINICA 401(K) PLAN

Measure	Date	Value
2022 : LA CLINICA 401(K) PLAN 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets	2022-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2022-12-31	$0
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Expenses. Interest paid	2022-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$114,831
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$1,079,109
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$1,020,808
Expenses. Certain deemed distributions of participant loans	2022-12-31	$7,167
Value of total corrective distributions	2022-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,537,494
Value of total assets at end of year	2022-12-31	$6,992,155
Value of total assets at beginning of year	2022-12-31	$7,956,433
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$51,134
Total income from rents	2022-12-31	$0
Total interest from all sources	2022-12-31	$3,215
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$377,490
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$377,490
Assets. Real estate other than employer real property at end of year	2022-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2022-12-31	$0
Administrative expenses professional fees incurred	2022-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2022-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2022-12-31	$0
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$939,184
Participant contributions at end of year	2022-12-31	$117,031
Participant contributions at beginning of year	2022-12-31	$44,756
Participant contributions at end of year	2022-12-31	$0
Participant contributions at beginning of year	2022-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2022-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2022-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$86,972
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2022-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$0
Assets. Loans (other than to participants) at end of year	2022-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2022-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$0
Other income not declared elsewhere	2022-12-31	$12,986
Administrative expenses (other) incurred	2022-12-31	$13,679
Liabilities. Value of operating payables at end of year	2022-12-31	$0
Liabilities. Value of operating payables at beginning of year	2022-12-31	$0
Total non interest bearing cash at end of year	2022-12-31	$0
Total non interest bearing cash at beginning of year	2022-12-31	$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	2022-12-31	No
Income. Non cash contributions	2022-12-31	$0
Value of net income/loss	2022-12-31	$-964,278
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$6,992,155
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$7,956,433
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Assets. partnership/joint venture interests at end of year	2022-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2022-12-31	$0
Investment advisory and management fees	2022-12-31	$17,750
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$6,874,366
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$7,911,677
Value of interest in pooled separate accounts at end of year	2022-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$0
Interest on participant loans	2022-12-31	$3,212
Income. Interest from loans (other than to participants)	2022-12-31	$0
Interest earned on other investments	2022-12-31	$3
Income. Interest from US Government securities	2022-12-31	$0
Income. Interest from corporate debt instruments	2022-12-31	$0
Value of interest in master investment trust accounts at end of year	2022-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2022-12-31	$0
Value of interest in common/collective trusts at end of year	2022-12-31	$0
Value of interest in common/collective trusts at beginning of year	2022-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2022-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2022-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$758
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2022-12-31	$0
Asset value of US Government securities at end of year	2022-12-31	$0
Asset value of US Government securities at beginning of year	2022-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-1,816,354
Net investment gain/loss from pooled separate accounts	2022-12-31	$0
Net investment gain or loss from common/collective trusts	2022-12-31	$0
Net gain/loss from 103.12 investment entities	2022-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Assets. Invements in employer securities at end of year	2022-12-31	$0
Assets. Invements in employer securities at beginning of year	2022-12-31	$0
Assets. Value of employer real property at end of year	2022-12-31	$0
Assets. Value of employer real property at beginning of year	2022-12-31	$0
Contributions received in cash from employer	2022-12-31	$511,338
Employer contributions (assets) at end of year	2022-12-31	$0
Employer contributions (assets) at beginning of year	2022-12-31	$0
Income. Dividends from preferred stock	2022-12-31	$0
Income. Dividends from common stock	2022-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,020,808
Asset. Corporate debt instrument preferred debt at end of year	2022-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2022-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2022-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2022-12-31	$0
Contract administrator fees	2022-12-31	$19,705
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	2022-12-31	Yes
Assets. Corporate common stocks other than exployer securities at end of year	2022-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2022-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2022-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2022-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2022-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2022-12-31	$0
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Aggregate proceeds on sale of assets	2022-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2022-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2022-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2022-12-31	$0
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	PENSION ASSURANCE LLP
Accountancy firm EIN	2022-12-31	300840934
2021 : LA CLINICA 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total transfer of assets to this plan	2021-12-31	$0
Total transfer of assets from this plan	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$2,017
Total income from all sources (including contributions)	2021-12-31	$2,368,379
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$564,786
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$512,946
Expenses. Certain deemed distributions of participant loans	2021-12-31	$38
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,347,482
Value of total assets at end of year	2021-12-31	$7,956,433
Value of total assets at beginning of year	2021-12-31	$6,154,857
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$51,802
Total interest from all sources	2021-12-31	$1,939
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$392,919
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$392,919
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$869,475
Participant contributions at end of year	2021-12-31	$44,756
Participant contributions at beginning of year	2021-12-31	$37,868
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$1,134
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$2,017
Other income not declared elsewhere	2021-12-31	$2,016
Administrative expenses (other) incurred	2021-12-31	$51,802
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$1,803,593
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$7,956,433
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$6,152,840
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$7,911,677
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$6,116,989
Interest on participant loans	2021-12-31	$1,939
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$624,023
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$476,873
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$512,946
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	PENSION ASSURANCE LLP
Accountancy firm EIN	2021-12-31	300840934
2020 : LA CLINICA 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total transfer of assets to this plan	2020-12-31	$0
Total transfer of assets from this plan	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$2,017
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$2,017
Total income from all sources (including contributions)	2020-12-31	$2,021,538
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$658,873
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$621,808
Expenses. Certain deemed distributions of participant loans	2020-12-31	$1,344
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,099,262
Value of total assets at end of year	2020-12-31	$6,154,857
Value of total assets at beginning of year	2020-12-31	$4,792,192
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$35,721
Total interest from all sources	2020-12-31	$1,848
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$209,816
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$209,816
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$480,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$704,067
Participant contributions at end of year	2020-12-31	$37,868
Participant contributions at beginning of year	2020-12-31	$43,943
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$23,895
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$2,017
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$2,017
Administrative expenses (other) incurred	2020-12-31	$35,721
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$1,362,665
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$6,152,840
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$4,790,175
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$6,116,989
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$4,748,249
Interest on participant loans	2020-12-31	$1,848
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$710,612
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$371,300
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$621,808
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	PENSION ASSURANCE LLP
Accountancy firm EIN	2020-12-31	300840934
Total unrealized appreciation/depreciation of assets	2020-01-31	$0
Total transfer of assets to this plan	2020-01-31	$0
Total transfer of assets from this plan	2020-01-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-01-31	$2,017
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-01-31	$2,017
Total income from all sources (including contributions)	2020-01-31	$1,457,904
Total loss/gain on sale of assets	2020-01-31	$0
Total of all expenses incurred	2020-01-31	$529,799
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-01-31	$492,905
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-01-31	$877,120
Value of total assets at end of year	2020-01-31	$4,792,192
Value of total assets at beginning of year	2020-01-31	$3,864,087
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-01-31	$36,894
Total interest from all sources	2020-01-31	$1,230
Total dividends received (eg from common stock, registered investment company shares)	2020-01-31	$194,564
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-01-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-01-31	$194,564
Was this plan covered by a fidelity bond	2020-01-31	Yes
Value of fidelity bond cover	2020-01-31	$387,000
If this is an individual account plan, was there a blackout period	2020-01-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-01-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-01-31	No
Contributions received from participants	2020-01-31	$568,041
Participant contributions at end of year	2020-01-31	$43,943
Participant contributions at beginning of year	2020-01-31	$19,403
Income. Received or receivable in cash from other sources (including rollovers)	2020-01-31	$2
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-01-31	$2,017
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-01-31	$2,017
Other income not declared elsewhere	2020-01-31	$277
Administrative expenses (other) incurred	2020-01-31	$36,894
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-01-31	No
Value of net income/loss	2020-01-31	$928,105
Value of net assets at end of year (total assets less liabilities)	2020-01-31	$4,790,175
Value of net assets at beginning of year (total assets less liabilities)	2020-01-31	$3,862,070
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-01-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-01-31	No
Were any leases to which the plan was party in default or uncollectible	2020-01-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-01-31	$4,748,249
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-01-31	$3,844,684
Interest on participant loans	2020-01-31	$1,230
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-01-31	$384,713
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-01-31	No
Was there a failure to transmit to the plan any participant contributions	2020-01-31	No
Has the plan failed to provide any benefit when due under the plan	2020-01-31	No
Contributions received in cash from employer	2020-01-31	$309,077
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-01-31	$492,905
Did the plan have assets held for investment	2020-01-31	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	2020-01-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-01-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-01-31	Yes
Opinion of an independent qualified public accountant for this plan	2020-01-31	Disclaimer
Accountancy firm name	2020-01-31	PENSION ASSURANCE LLP
Accountancy firm EIN	2020-01-31	300840934
2019 : LA CLINICA 401(K) PLAN 2019 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-01-31	$0
2018 : LA CLINICA 401(K) PLAN 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets	2018-01-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2018-01-31	$0
Total unrealized appreciation/depreciation of assets	2018-01-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-01-31	$2,017
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-01-31	$0
Expenses. Interest paid	2018-01-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2018-01-31	$0
Total income from all sources (including contributions)	2018-01-31	$1,238,157
Total loss/gain on sale of assets	2018-01-31	$0
Total of all expenses incurred	2018-01-31	$65,718
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-01-31	$63,580
Expenses. Certain deemed distributions of participant loans	2018-01-31	$0
Value of total corrective distributions	2018-01-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-01-31	$758,947
Value of total assets at end of year	2018-01-31	$3,075,613
Value of total assets at beginning of year	2018-01-31	$1,901,157
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-01-31	$2,138
Total income from rents	2018-01-31	$0
Total interest from all sources	2018-01-31	$1,259
Total dividends received (eg from common stock, registered investment company shares)	2018-01-31	$72,434
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-01-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-01-31	$72,434
Assets. Real estate other than employer real property at end of year	2018-01-31	$0
Assets. Real estate other than employer real property at beginning of year	2018-01-31	$0
Administrative expenses professional fees incurred	2018-01-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2018-01-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2018-01-31	$0
Was this plan covered by a fidelity bond	2018-01-31	Yes
Value of fidelity bond cover	2018-01-31	$500,000
If this is an individual account plan, was there a blackout period	2018-01-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-01-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-01-31	No
Contributions received from participants	2018-01-31	$440,626
Participant contributions at end of year	2018-01-31	$34,827
Participant contributions at beginning of year	2018-01-31	$4,153
Participant contributions at end of year	2018-01-31	$0
Participant contributions at beginning of year	2018-01-31	$0
Assets. Other investments not covered elsewhere at end of year	2018-01-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2018-01-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-01-31	$94,188
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2018-01-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-01-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-01-31	$0
Assets. Loans (other than to participants) at end of year	2018-01-31	$0
Assets. Loans (other than to participants) at beginning of year	2018-01-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-01-31	$2,017
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-01-31	$0
Other income not declared elsewhere	2018-01-31	$0
Administrative expenses (other) incurred	2018-01-31	$0
Liabilities. Value of operating payables at end of year	2018-01-31	$0
Liabilities. Value of operating payables at beginning of year	2018-01-31	$0
Total non interest bearing cash at end of year	2018-01-31	$3,040,786
Total non interest bearing cash at beginning of year	2018-01-31	$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	2018-01-31	No
Income. Non cash contributions	2018-01-31	$0
Value of net income/loss	2018-01-31	$1,172,439
Value of net assets at end of year (total assets less liabilities)	2018-01-31	$3,073,596
Value of net assets at beginning of year (total assets less liabilities)	2018-01-31	$1,901,157
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-01-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-01-31	No
Were any leases to which the plan was party in default or uncollectible	2018-01-31	No
Assets. partnership/joint venture interests at end of year	2018-01-31	$0
Assets. partnership/joint venture interests at beginning of year	2018-01-31	$0
Investment advisory and management fees	2018-01-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-01-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-01-31	$1,891,564
Value of interest in pooled separate accounts at end of year	2018-01-31	$0
Value of interest in pooled separate accounts at beginning of year	2018-01-31	$0
Interest on participant loans	2018-01-31	$1,259
Income. Interest from loans (other than to participants)	2018-01-31	$0
Interest earned on other investments	2018-01-31	$0
Income. Interest from US Government securities	2018-01-31	$0
Income. Interest from corporate debt instruments	2018-01-31	$0
Value of interest in master investment trust accounts at end of year	2018-01-31	$0
Value of interest in master investment trust accounts at beginning of year	2018-01-31	$0
Value of interest in common/collective trusts at end of year	2018-01-31	$0
Value of interest in common/collective trusts at beginning of year	2018-01-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-01-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-01-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-01-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2018-01-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2018-01-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2018-01-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-01-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-01-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2018-01-31	$0
Asset value of US Government securities at end of year	2018-01-31	$0
Asset value of US Government securities at beginning of year	2018-01-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-01-31	$405,517
Net investment gain/loss from pooled separate accounts	2018-01-31	$0
Net investment gain or loss from common/collective trusts	2018-01-31	$0
Net gain/loss from 103.12 investment entities	2018-01-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-01-31	No
Was there a failure to transmit to the plan any participant contributions	2018-01-31	No
Has the plan failed to provide any benefit when due under the plan	2018-01-31	No
Assets. Invements in employer securities at end of year	2018-01-31	$0
Assets. Invements in employer securities at beginning of year	2018-01-31	$0
Assets. Value of employer real property at end of year	2018-01-31	$0
Assets. Value of employer real property at beginning of year	2018-01-31	$0
Contributions received in cash from employer	2018-01-31	$224,133
Employer contributions (assets) at end of year	2018-01-31	$0
Employer contributions (assets) at beginning of year	2018-01-31	$5,440
Income. Dividends from preferred stock	2018-01-31	$0
Income. Dividends from common stock	2018-01-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-01-31	$63,580
Asset. Corporate debt instrument preferred debt at end of year	2018-01-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2018-01-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2018-01-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2018-01-31	$0
Contract administrator fees	2018-01-31	$2,138
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	2018-01-31	Yes
Assets. Corporate common stocks other than exployer securities at end of year	2018-01-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2018-01-31	$0
Liabilities. Value of benefit claims payable at end of year	2018-01-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2018-01-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2018-01-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2018-01-31	$0
Did the plan have assets held for investment	2018-01-31	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	2018-01-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-01-31	No
Aggregate proceeds on sale of assets	2018-01-31	$0
Aggregate carrying amount (costs) on sale of assets	2018-01-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2018-01-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2018-01-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-01-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-01-31	Disclaimer
Accountancy firm name	2018-01-31	PENSION ASSURANCE LLP
Accountancy firm EIN	2018-01-31	300840934

Form 5500 Responses for LA CLINICA 401(K) PLAN

2022: LA CLINICA 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	Yes
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: LA CLINICA 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	No
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: LA CLINICA 401(K) PLAN 2020 form 5500 responses
2020-02-01	Type of plan entity	Single employer plan
2020-02-01	Submission has been amended	No
2020-02-01	This submission is the final filing	No
2020-02-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2020-02-01	Plan is a collectively bargained plan	No
2020-02-01	Plan funding arrangement – Trust	Yes
2020-02-01	Plan benefit arrangement - Trust	Yes
2019: LA CLINICA 401(K) PLAN 2019 form 5500 responses
2019-02-01	Type of plan entity	Single employer plan
2019-02-01	Submission has been amended	No
2019-02-01	This submission is the final filing	No
2019-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-02-01	Plan is a collectively bargained plan	No
2019-02-01	Plan funding arrangement – Trust	Yes
2019-02-01	Plan benefit arrangement - Trust	Yes
2018: LA CLINICA 401(K) PLAN 2018 form 5500 responses
2018-02-01	Type of plan entity	Single employer plan
2018-02-01	Submission has been amended	Yes
2018-02-01	This submission is the final filing	No
2018-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-02-01	Plan is a collectively bargained plan	No
2018-02-01	Plan funding arrangement – Trust	Yes
2018-02-01	Plan benefit arrangement - Trust	Yes
2017: LA CLINICA 401(K) PLAN 2017 form 5500 responses
2017-02-01	Type of plan entity	Single employer plan
2017-02-01	Submission has been amended	No
2017-02-01	This submission is the final filing	No
2017-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-02-01	Plan is a collectively bargained plan	No
2017-02-01	Plan funding arrangement – Trust	Yes
2017-02-01	Plan benefit arrangement - Trust	Yes
2008: LA CLINICA 401(K) PLAN 2008 form 5500 responses
2008-12-01	Type of plan entity	Single employer plan
2008-12-01	First time form 5500 has been submitted	Yes
2008-12-01	Submission has been amended	No
2008-12-01	This submission is the final filing	No
2008-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-12-01	Plan is a collectively bargained plan	No

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

516991-01

Policy instance

Insurance contract or identification number	516991-01
Number of Individuals Covered	60
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	ONE COMMUNITY HEALTH
Employer identification number (EIN):	930910794
NAIC Classification:	621410
NAIC Description:	Family Planning Centers

Jurisdiction of Incorporation:	Oregon Secretary of State Corporations Division
Incorporation Date:	1986-03-12
Company Identification Number:	2450989
Legal Registered Office Address:	849 PACIFIC AVE HOOD RIVER United States of America (USA) 97031