401k Plan data: FAIR OAKS WOMEN'S HEALTH CASH BALANCE PLAN plan

FAIR OAKS WOMEN'S HEALTH CASH BALANCE PLAN 401k Plan overview

Plan Name	FAIR OAKS WOMEN'S HEALTH CASH BALANCE PLAN
Plan identification number	002

FAIR OAKS WOMEN'S HEALTH CASH BALANCE PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Cash balance or similar plan - Plan has a "cash balance" formula. For this purpose, a "cash balance" formula is a benefit formula in a defined benefit plan by whatever name (for example, personal account plan, pension equity plan, life cycle plan, cash account plan, etc.) that rather than, or in addition to, expressing the accrued benefit as a life annuity commencing at normal retirement age, defines benefits for each employee in terms more common to a defined contribution plan such as a single sum distribution amount (for example, 10 percent of final average pay times years of service, or the amount of the employee's hypothetical account balance).

401k Sponsoring company profile

FAIR OAKS WOMEN'S HEALTH has sponsored the creation of one or more 401k plans.

Company Name: FAIR OAKS WOMEN'S HEALTH

Employer identification number (EIN): 954302200

NAIC Classification: 621399
NAIC Description: Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FAIR OAKS WOMEN'S HEALTH CASH BALANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2019-01-01 BRYAN JICK 2020-04-25
002 2018-01-01 BRYAN JICK 2019-06-01
002 2017-01-01 BRYAN JICK 2018-08-15
002 2016-01-01
002 2015-01-01 BRYAN JICK 2016-10-14
002 2014-01-01 BRYAN JICK 2015-10-01
002 2013-01-01 BRYAN JICK 2014-10-14
002 2012-01-01 BRYAN JICK 2013-10-14
002 2011-01-01 BRYAN JICK 2012-10-11

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2019-01-01	BRYAN JICK	2020-04-25
002	2018-01-01	BRYAN JICK	2019-06-01
002	2017-01-01	BRYAN JICK	2018-08-15
002	2016-01-01
002	2015-01-01	BRYAN JICK	2016-10-14
002	2014-01-01	BRYAN JICK	2015-10-01
002	2013-01-01	BRYAN JICK	2014-10-14
002	2012-01-01	BRYAN JICK	2013-10-14
002	2011-01-01	BRYAN JICK	2012-10-11

Plan Statistics for FAIR OAKS WOMEN'S HEALTH CASH BALANCE PLAN

401k plan membership statisitcs for FAIR OAKS WOMEN'S HEALTH CASH BALANCE PLAN

Measure Date Value
2019: FAIR OAKS WOMEN'S HEALTH CASH BALANCE PLAN 2019 401k membership
Market value of plan assets 2019-12-31 749,033
Acturial value of plan assets 2019-12-31 749,033
Funding target for retired participants and beneficiaries receiving payment 2019-12-31 0
Number of terminated vested participants 2019-12-31 2
Fundng target for terminated vested participants 2019-12-31 525,051
Active participant vested funding target 2019-12-31 201,422
Number of active participants 2019-12-31 25
Total funding liabilities for active participants 2019-12-31 201,422
Total participant count 2019-12-31 27
Total funding target for all participants 2019-12-31 726,473
Balance at beginning of prior year after applicable adjustments 2019-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2019-12-31 0
Carryover balanced portion elected for use to offset prior years funding requirement 2019-12-31 0
Prefunding balanced used to offset prior years funding requirement 2019-12-31 0
Amount remaining of carryover balance 2019-12-31 0
Amount remaining of prefunding balance 2019-12-31 0
Present value of excess contributions 2019-12-31 63,017
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2019-12-31 66,640
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2019-12-31 0
Reductions in caryover balances due to elections or deemed elections 2019-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2019-12-31 0
Balance of carryovers at beginning of current year 2019-12-31 0
Balance of prefunding at beginning of current year 2019-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2019-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2019-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2019-12-31 0
Unpaid minimum required contributions for all prior years 2019-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2019-12-31 0
Remaining amount of unpaid minimum required contributions 2019-12-31 0
Minimum required contributions for current year target normal cost 2019-12-31 0
Net shortfall amortization installment of oustanding balance 2019-12-31 0
Waiver amortization installment 2019-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2019-12-31 0
Carryover balance elected to use to offset funding requirement 2019-12-31 0
Prefunding balance elected to use to offset funding requirement 2019-12-31 0
Additional cash requirement 2019-12-31 0
Contributions allocatedtoward minimum required contributions for current year 2019-12-31 0
Unpaid minimum required contributions for current year 2019-12-31 0
Unpaid minimum required contributions for all years 2019-12-31 0
2018: FAIR OAKS WOMEN'S HEALTH CASH BALANCE PLAN 2018 401k membership
Market value of plan assets 2018-12-31 698,535
Acturial value of plan assets 2018-12-31 698,535
Funding target for retired participants and beneficiaries receiving payment 2018-12-31 0
Number of terminated vested participants 2018-12-31 1
Fundng target for terminated vested participants 2018-12-31 2,056
Active participant vested funding target 2018-12-31 636,337
Number of active participants 2018-12-31 26
Total funding liabilities for active participants 2018-12-31 638,012
Total participant count 2018-12-31 27
Total funding target for all participants 2018-12-31 640,068
Balance at beginning of prior year after applicable adjustments 2018-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2018-12-31 0
Carryover balanced portion elected for use to offset prior years funding requirement 2018-12-31 0
Prefunding balanced used to offset prior years funding requirement 2018-12-31 0
Amount remaining of carryover balance 2018-12-31 0
Amount remaining of prefunding balance 2018-12-31 0
Present value of excess contributions 2018-12-31 77,087
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2018-12-31 81,805
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2018-12-31 0
Reductions in caryover balances due to elections or deemed elections 2018-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2018-12-31 0
Balance of carryovers at beginning of current year 2018-12-31 0
Balance of prefunding at beginning of current year 2018-12-31 0
Total employer contributions 2018-12-31 93,941
Total employee contributions 2018-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2018-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2018-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2018-12-31 89,058
Liquidity shortfalls end of Q1 2018-12-31 0
Liquidity shortfalls end of Q2 2018-12-31 0
Liquidity shortfalls end of Q3 2018-12-31 0
Liquidity shortfalls end of Q4 2018-12-31 0
Unpaid minimum required contributions for all prior years 2018-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2018-12-31 0
Remaining amount of unpaid minimum required contributions 2018-12-31 0
Minimum required contributions for current year target normal cost 2018-12-31 84,508
Net shortfall amortization installment of oustanding balance 2018-12-31 0
Waiver amortization installment 2018-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2018-12-31 26,041
Additional cash requirement 2018-12-31 26,041
Contributions allocatedtoward minimum required contributions for current year 2018-12-31 89,058
Unpaid minimum required contributions for current year 2018-12-31 0
Unpaid minimum required contributions for all years 2018-12-31 0
2017: FAIR OAKS WOMEN'S HEALTH CASH BALANCE PLAN 2017 401k membership
Market value of plan assets 2017-12-31 530,997
Acturial value of plan assets 2017-12-31 530,997
Funding target for retired participants and beneficiaries receiving payment 2017-12-31 0
Number of terminated vested participants 2017-12-31 3
Fundng target for terminated vested participants 2017-12-31 4,035
Active participant vested funding target 2017-12-31 529,766
Number of active participants 2017-12-31 24
Total funding liabilities for active participants 2017-12-31 532,339
Total participant count 2017-12-31 27
Total funding target for all participants 2017-12-31 536,374
Balance at beginning of prior year after applicable adjustments 2017-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2017-12-31 0
Carryover balanced portion elected for use to offset prior years funding requirement 2017-12-31 0
Prefunding balanced used to offset prior years funding requirement 2017-12-31 0
Amount remaining of carryover balance 2017-12-31 0
Amount remaining of prefunding balance 2017-12-31 0
Present value of excess contributions 2017-12-31 7,637
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2017-12-31 8,107
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2017-12-31 0
Reductions in caryover balances due to elections or deemed elections 2017-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2017-12-31 0
Balance of carryovers at beginning of current year 2017-12-31 0
Balance of prefunding at beginning of current year 2017-12-31 0
Total employer contributions 2017-12-31 127,700
Total employee contributions 2017-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2017-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2017-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2017-12-31 121,741
Liquidity shortfalls end of Q1 2017-12-31 0
Liquidity shortfalls end of Q2 2017-12-31 0
Liquidity shortfalls end of Q3 2017-12-31 0
Liquidity shortfalls end of Q4 2017-12-31 0
Unpaid minimum required contributions for all prior years 2017-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2017-12-31 0
Remaining amount of unpaid minimum required contributions 2017-12-31 0
Minimum required contributions for current year target normal cost 2017-12-31 43,391
Net shortfall amortization installment of oustanding balance 2017-12-31 5,377
Waiver amortization installment 2017-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2017-12-31 44,654
Additional cash requirement 2017-12-31 44,654
Contributions allocatedtoward minimum required contributions for current year 2017-12-31 121,741
Unpaid minimum required contributions for current year 2017-12-31 0
Unpaid minimum required contributions for all years 2017-12-31 0
2016: FAIR OAKS WOMEN'S HEALTH CASH BALANCE PLAN 2016 401k membership
Market value of plan assets 2016-12-31 393,155
Acturial value of plan assets 2016-12-31 393,155
Funding target for retired participants and beneficiaries receiving payment 2016-12-31 0
Number of terminated vested participants 2016-12-31 3
Fundng target for terminated vested participants 2016-12-31 3,170
Active participant vested funding target 2016-12-31 406,833
Number of active participants 2016-12-31 17
Total funding liabilities for active participants 2016-12-31 409,530
Total participant count 2016-12-31 20
Total funding target for all participants 2016-12-31 412,700
Balance at beginning of prior year after applicable adjustments 2016-12-31 0
Prefunding balance at beginning of prior year after applicable adjustments 2016-12-31 0
Carryover balanced portion elected for use to offset prior years funding requirement 2016-12-31 0
Prefunding balanced used to offset prior years funding requirement 2016-12-31 0
Amount remaining of carryover balance 2016-12-31 0
Amount remaining of prefunding balance 2016-12-31 0
Present value of excess contributions 2016-12-31 26,139
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance 2016-12-31 27,801
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance 2016-12-31 0
Reductions in caryover balances due to elections or deemed elections 2016-12-31 0
Reductions in prefunding balances due to elections or deemed elections 2016-12-31 0
Balance of carryovers at beginning of current year 2016-12-31 0
Balance of prefunding at beginning of current year 2016-12-31 0
Total employer contributions 2016-12-31 93,000
Total employee contributions 2016-12-31 0
Contributions allocated toward unpaid minimum require contributions from prior years 2016-12-31 0
Contributions made to avoid restrictions adjusted to valuation date 2016-12-31 0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date 2016-12-31 89,569
Unpaid minimum required contributions for all prior years 2016-12-31 0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years 2016-12-31 0
Remaining amount of unpaid minimum required contributions 2016-12-31 0
Minimum required contributions for current year target normal cost 2016-12-31 78,703
Net shortfall amortization installment of oustanding balance 2016-12-31 19,545
Waiver amortization installment 2016-12-31 0
Waived amount of outstanding balance 2016-12-31 0
Total funding amount beforereflecting carryover/prefunding balances 2016-12-31 81,932
Additional cash requirement 2016-12-31 81,932
Contributions allocatedtoward minimum required contributions for current year 2016-12-31 89,569
Unpaid minimum required contributions for current year 2016-12-31 0
Unpaid minimum required contributions for all years 2016-12-31 0

Measure	Date	Value
2019: FAIR OAKS WOMEN'S HEALTH CASH BALANCE PLAN 2019 401k membership
Market value of plan assets	2019-12-31	749,033
Acturial value of plan assets	2019-12-31	749,033
Funding target for retired participants and beneficiaries receiving payment	2019-12-31	0
Number of terminated vested participants	2019-12-31	2
Fundng target for terminated vested participants	2019-12-31	525,051
Active participant vested funding target	2019-12-31	201,422
Number of active participants	2019-12-31	25
Total funding liabilities for active participants	2019-12-31	201,422
Total participant count	2019-12-31	27
Total funding target for all participants	2019-12-31	726,473
Balance at beginning of prior year after applicable adjustments	2019-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2019-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2019-12-31	0
Prefunding balanced used to offset prior years funding requirement	2019-12-31	0
Amount remaining of carryover balance	2019-12-31	0
Amount remaining of prefunding balance	2019-12-31	0
Present value of excess contributions	2019-12-31	63,017
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2019-12-31	66,640
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2019-12-31	0
Reductions in caryover balances due to elections or deemed elections	2019-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2019-12-31	0
Balance of carryovers at beginning of current year	2019-12-31	0
Balance of prefunding at beginning of current year	2019-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2019-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2019-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2019-12-31	0
Unpaid minimum required contributions for all prior years	2019-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2019-12-31	0
Remaining amount of unpaid minimum required contributions	2019-12-31	0
Minimum required contributions for current year target normal cost	2019-12-31	0
Net shortfall amortization installment of oustanding balance	2019-12-31	0
Waiver amortization installment	2019-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2019-12-31	0
Carryover balance elected to use to offset funding requirement	2019-12-31	0
Prefunding balance elected to use to offset funding requirement	2019-12-31	0
Additional cash requirement	2019-12-31	0
Contributions allocatedtoward minimum required contributions for current year	2019-12-31	0
Unpaid minimum required contributions for current year	2019-12-31	0
Unpaid minimum required contributions for all years	2019-12-31	0
2018: FAIR OAKS WOMEN'S HEALTH CASH BALANCE PLAN 2018 401k membership
Market value of plan assets	2018-12-31	698,535
Acturial value of plan assets	2018-12-31	698,535
Funding target for retired participants and beneficiaries receiving payment	2018-12-31	0
Number of terminated vested participants	2018-12-31	1
Fundng target for terminated vested participants	2018-12-31	2,056
Active participant vested funding target	2018-12-31	636,337
Number of active participants	2018-12-31	26
Total funding liabilities for active participants	2018-12-31	638,012
Total participant count	2018-12-31	27
Total funding target for all participants	2018-12-31	640,068
Balance at beginning of prior year after applicable adjustments	2018-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2018-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2018-12-31	0
Prefunding balanced used to offset prior years funding requirement	2018-12-31	0
Amount remaining of carryover balance	2018-12-31	0
Amount remaining of prefunding balance	2018-12-31	0
Present value of excess contributions	2018-12-31	77,087
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2018-12-31	81,805
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2018-12-31	0
Reductions in caryover balances due to elections or deemed elections	2018-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2018-12-31	0
Balance of carryovers at beginning of current year	2018-12-31	0
Balance of prefunding at beginning of current year	2018-12-31	0
Total employer contributions	2018-12-31	93,941
Total employee contributions	2018-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2018-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2018-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2018-12-31	89,058
Liquidity shortfalls end of Q1	2018-12-31	0
Liquidity shortfalls end of Q2	2018-12-31	0
Liquidity shortfalls end of Q3	2018-12-31	0
Liquidity shortfalls end of Q4	2018-12-31	0
Unpaid minimum required contributions for all prior years	2018-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2018-12-31	0
Remaining amount of unpaid minimum required contributions	2018-12-31	0
Minimum required contributions for current year target normal cost	2018-12-31	84,508
Net shortfall amortization installment of oustanding balance	2018-12-31	0
Waiver amortization installment	2018-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2018-12-31	26,041
Additional cash requirement	2018-12-31	26,041
Contributions allocatedtoward minimum required contributions for current year	2018-12-31	89,058
Unpaid minimum required contributions for current year	2018-12-31	0
Unpaid minimum required contributions for all years	2018-12-31	0
2017: FAIR OAKS WOMEN'S HEALTH CASH BALANCE PLAN 2017 401k membership
Market value of plan assets	2017-12-31	530,997
Acturial value of plan assets	2017-12-31	530,997
Funding target for retired participants and beneficiaries receiving payment	2017-12-31	0
Number of terminated vested participants	2017-12-31	3
Fundng target for terminated vested participants	2017-12-31	4,035
Active participant vested funding target	2017-12-31	529,766
Number of active participants	2017-12-31	24
Total funding liabilities for active participants	2017-12-31	532,339
Total participant count	2017-12-31	27
Total funding target for all participants	2017-12-31	536,374
Balance at beginning of prior year after applicable adjustments	2017-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2017-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2017-12-31	0
Prefunding balanced used to offset prior years funding requirement	2017-12-31	0
Amount remaining of carryover balance	2017-12-31	0
Amount remaining of prefunding balance	2017-12-31	0
Present value of excess contributions	2017-12-31	7,637
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2017-12-31	8,107
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2017-12-31	0
Reductions in caryover balances due to elections or deemed elections	2017-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2017-12-31	0
Balance of carryovers at beginning of current year	2017-12-31	0
Balance of prefunding at beginning of current year	2017-12-31	0
Total employer contributions	2017-12-31	127,700
Total employee contributions	2017-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2017-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2017-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2017-12-31	121,741
Liquidity shortfalls end of Q1	2017-12-31	0
Liquidity shortfalls end of Q2	2017-12-31	0
Liquidity shortfalls end of Q3	2017-12-31	0
Liquidity shortfalls end of Q4	2017-12-31	0
Unpaid minimum required contributions for all prior years	2017-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2017-12-31	0
Remaining amount of unpaid minimum required contributions	2017-12-31	0
Minimum required contributions for current year target normal cost	2017-12-31	43,391
Net shortfall amortization installment of oustanding balance	2017-12-31	5,377
Waiver amortization installment	2017-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2017-12-31	44,654
Additional cash requirement	2017-12-31	44,654
Contributions allocatedtoward minimum required contributions for current year	2017-12-31	121,741
Unpaid minimum required contributions for current year	2017-12-31	0
Unpaid minimum required contributions for all years	2017-12-31	0
2016: FAIR OAKS WOMEN'S HEALTH CASH BALANCE PLAN 2016 401k membership
Market value of plan assets	2016-12-31	393,155
Acturial value of plan assets	2016-12-31	393,155
Funding target for retired participants and beneficiaries receiving payment	2016-12-31	0
Number of terminated vested participants	2016-12-31	3
Fundng target for terminated vested participants	2016-12-31	3,170
Active participant vested funding target	2016-12-31	406,833
Number of active participants	2016-12-31	17
Total funding liabilities for active participants	2016-12-31	409,530
Total participant count	2016-12-31	20
Total funding target for all participants	2016-12-31	412,700
Balance at beginning of prior year after applicable adjustments	2016-12-31	0
Prefunding balance at beginning of prior year after applicable adjustments	2016-12-31	0
Carryover balanced portion elected for use to offset prior years funding requirement	2016-12-31	0
Prefunding balanced used to offset prior years funding requirement	2016-12-31	0
Amount remaining of carryover balance	2016-12-31	0
Amount remaining of prefunding balance	2016-12-31	0
Present value of excess contributions	2016-12-31	26,139
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance	2016-12-31	27,801
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance	2016-12-31	0
Reductions in caryover balances due to elections or deemed elections	2016-12-31	0
Reductions in prefunding balances due to elections or deemed elections	2016-12-31	0
Balance of carryovers at beginning of current year	2016-12-31	0
Balance of prefunding at beginning of current year	2016-12-31	0
Total employer contributions	2016-12-31	93,000
Total employee contributions	2016-12-31	0
Contributions allocated toward unpaid minimum require contributions from prior years	2016-12-31	0
Contributions made to avoid restrictions adjusted to valuation date	2016-12-31	0
Contributions allocated toward minimum required contributions for current year adjusted to valuation date	2016-12-31	89,569
Unpaid minimum required contributions for all prior years	2016-12-31	0
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years	2016-12-31	0
Remaining amount of unpaid minimum required contributions	2016-12-31	0
Minimum required contributions for current year target normal cost	2016-12-31	78,703
Net shortfall amortization installment of oustanding balance	2016-12-31	19,545
Waiver amortization installment	2016-12-31	0
Waived amount of outstanding balance	2016-12-31	0
Total funding amount beforereflecting carryover/prefunding balances	2016-12-31	81,932
Additional cash requirement	2016-12-31	81,932
Contributions allocatedtoward minimum required contributions for current year	2016-12-31	89,569
Unpaid minimum required contributions for current year	2016-12-31	0
Unpaid minimum required contributions for all years	2016-12-31	0

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Company Name:	FAIR OAKS WOMEN'S HEALTH
Employer identification number (EIN):	954302200
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners