401k Plan data: CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST plan

CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST 401k Plan overview

Plan Name	CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST
Plan identification number	001

CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

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

Company Name: CENTENNIAL MEDICAL GROUP, INC.

Employer identification number (EIN): 770495555

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Additional information about CENTENNIAL MEDICAL GROUP, INC.

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division

Incorporation Date: 2009-01-01

Company Identification Number: 56948590

Legal Registered Office Address: 201 MEDICAL LOOP SUITE 190

ROSEBURG
United States of America (USA)
97471

More information about CENTENNIAL MEDICAL GROUP, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 THOMAS BELL 2023-05-15 THOMAS BELL 2023-05-15
001 2021-01-01 THOMAS BELL 2022-05-18 THOMAS BELL 2022-05-18
001 2020-01-01 THOMAS BELL 2021-04-20 THOMAS BELL 2021-04-20
001 2019-01-01
001 2018-01-01
001 2017-01-01 LEAH CARTER
001 2016-01-01 THOMAS BELL 2017-08-10
001 2016-01-01 THOMAS BELL 2017-08-10
001 2015-01-01 LESLIE PONCETTA 2016-08-18 LESLIE PONCETTA 2016-08-18
001 2015-01-01 LESLIE PONCETTA 2016-08-23 LESLIE PONCETTA 2016-08-23
001 2014-01-01 LESLIE PONCETTA 2015-08-13 LESLIE PONCETTA 2015-08-13
001 2013-01-01 LESLIE PONCETTA 2014-08-06 LESLIE PONCETTA 2014-08-05
001 2012-01-01 LESLIE PONCETTA 2013-10-04 LESLIE PONCETTA 2013-10-04
001 2011-01-01 LESLIE PONCETTA 2012-09-12
001 2010-01-01 NELSON MADRILEJO 2011-07-13
001 2009-01-01 NELSON MADRILEJO

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	THOMAS BELL	2023-05-15	THOMAS BELL	2023-05-15
001	2021-01-01	THOMAS BELL	2022-05-18	THOMAS BELL	2022-05-18
001	2020-01-01	THOMAS BELL	2021-04-20	THOMAS BELL	2021-04-20
001	2019-01-01
001	2018-01-01
001	2017-01-01	LEAH CARTER
001	2016-01-01	THOMAS BELL	2017-08-10
001	2016-01-01	THOMAS BELL	2017-08-10
001	2015-01-01	LESLIE PONCETTA	2016-08-18	LESLIE PONCETTA	2016-08-18
001	2015-01-01	LESLIE PONCETTA	2016-08-23	LESLIE PONCETTA	2016-08-23
001	2014-01-01	LESLIE PONCETTA	2015-08-13	LESLIE PONCETTA	2015-08-13
001	2013-01-01	LESLIE PONCETTA	2014-08-06	LESLIE PONCETTA	2014-08-05
001	2012-01-01	LESLIE PONCETTA	2013-10-04	LESLIE PONCETTA	2013-10-04
001	2011-01-01	LESLIE PONCETTA	2012-09-12
001	2010-01-01	NELSON MADRILEJO	2011-07-13
001	2009-01-01	NELSON MADRILEJO

Plan Statistics for CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST

401k plan membership statisitcs for CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST

Measure Date Value
2019: CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year 2019-01-01 142
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 38
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 61
Total of all active and inactive participants 2019-01-01 99
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 99
Number of participants with account balances 2019-01-01 95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year 2018-01-01 133
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 117
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 24
Total of all active and inactive participants 2018-01-01 141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 1
Total participants 2018-01-01 142
Number of participants with account balances 2018-01-01 122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 18
2017: CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 121
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 115
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 17
Total of all active and inactive participants 2017-01-01 132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 1
Total participants 2017-01-01 133
Number of participants with account balances 2017-01-01 113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 8
2009: CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 55
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 53
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 53
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 53
Number of participants with account balances 2009-01-01 43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2019: CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year	2019-01-01	142
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	38
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	61
Total of all active and inactive participants	2019-01-01	99
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	99
Number of participants with account balances	2019-01-01	95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year	2018-01-01	133
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	117
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	24
Total of all active and inactive participants	2018-01-01	141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	1
Total participants	2018-01-01	142
Number of participants with account balances	2018-01-01	122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	18
2017: CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	121
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	115
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	17
Total of all active and inactive participants	2017-01-01	132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	1
Total participants	2017-01-01	133
Number of participants with account balances	2017-01-01	113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	8
2009: CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	55
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	53
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	53
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	53
Number of participants with account balances	2009-01-01	43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST

Measure	Date	Value
2019 : CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$1,418,767
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$1,434,105
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,390,099
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$530,440
Value of total assets at end of year	2019-12-31	$5,423,435
Value of total assets at beginning of year	2019-12-31	$5,438,773
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$44,006
Total interest from all sources	2019-12-31	$3,354
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$94,293
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$94,293
Administrative expenses professional fees incurred	2019-12-31	$4,793
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$254,938
Participant contributions at end of year	2019-12-31	$24,349
Participant contributions at beginning of year	2019-12-31	$77,292
Participant contributions at end of year	2019-12-31	$27,616
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$32,968
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$33
Other income not declared elsewhere	2019-12-31	$132
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$-15,338
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$5,423,435
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$5,438,773
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$29,619
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$3,852,101
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$3,371,800
Interest on participant loans	2019-12-31	$3,354
Value of interest in common/collective trusts at end of year	2019-12-31	$1,276,802
Value of interest in common/collective trusts at beginning of year	2019-12-31	$1,524,657
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$716,091
Net investment gain or loss from common/collective trusts	2019-12-31	$74,457
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$242,534
Employer contributions (assets) at end of year	2019-12-31	$242,534
Employer contributions (assets) at beginning of year	2019-12-31	$465,024
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,390,099
Contract administrator fees	2019-12-31	$9,594
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	DANIELLS PHILLIPS VAUGHAN & BOCK
Accountancy firm EIN	2019-12-31	952972229
2018 : CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$495,607
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$121,940
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$83,932
Value of total corrective distributions	2018-12-31	$598
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$727,089
Value of total assets at end of year	2018-12-31	$5,438,773
Value of total assets at beginning of year	2018-12-31	$5,065,106
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$37,410
Total interest from all sources	2018-12-31	$4,806
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$99,254
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$99,254
Administrative expenses professional fees incurred	2018-12-31	$4,318
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$254,466
Participant contributions at end of year	2018-12-31	$77,292
Participant contributions at beginning of year	2018-12-31	$75,210
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$7,599
Other income not declared elsewhere	2018-12-31	$3,088
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$373,667
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$5,438,773
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$5,065,106
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$25,348
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$3,371,800
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$2,894,855
Interest on participant loans	2018-12-31	$4,806
Value of interest in common/collective trusts at end of year	2018-12-31	$1,524,657
Value of interest in common/collective trusts at beginning of year	2018-12-31	$1,671,129
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-347,001
Net investment gain or loss from common/collective trusts	2018-12-31	$8,371
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$465,024
Employer contributions (assets) at end of year	2018-12-31	$465,024
Employer contributions (assets) at beginning of year	2018-12-31	$423,912
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$83,932
Contract administrator fees	2018-12-31	$7,744
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	DANIELLS PHILLIPS VAUGHAN & BOCK
Accountancy firm EIN	2018-12-31	952972229
2017 : CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$1,116,171
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$226,006
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$193,940
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$654,603
Value of total assets at end of year	2017-12-31	$5,065,106
Value of total assets at beginning of year	2017-12-31	$4,174,941
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$32,066
Total interest from all sources	2017-12-31	$2,377
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$71,581
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$71,581
Administrative expenses professional fees incurred	2017-12-31	$3,117
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$230,691
Participant contributions at end of year	2017-12-31	$75,210
Participant contributions at beginning of year	2017-12-31	$32,176
Other income not declared elsewhere	2017-12-31	$17,436
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$890,165
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$5,065,106
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$4,174,941
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$23,069
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$2,894,855
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$984,427
Interest on participant loans	2017-12-31	$2,377
Value of interest in common/collective trusts at end of year	2017-12-31	$1,671,129
Value of interest in common/collective trusts at beginning of year	2017-12-31	$2,752,488
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$155,574
Net investment gain or loss from common/collective trusts	2017-12-31	$214,600
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$423,912
Employer contributions (assets) at end of year	2017-12-31	$423,912
Employer contributions (assets) at beginning of year	2017-12-31	$405,850
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$193,940
Contract administrator fees	2017-12-31	$5,880
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	2017-12-31	Yes
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	DANIELLS PHILLIPS VAUGHAN & BOCK
Accountancy firm EIN	2017-12-31	952972229
2009 : CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST

2019: CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2009: CENTENNIAL MEDICAL GROUP, INC. EMPLOYEE 401(K) PLAN AND TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Potentially related plans

CENTENNIAL MEDICAL GROUP 401 K PROFIT SHARING PLAN TRUST [EIN = 522229826]

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Company Name:	CENTENNIAL MEDICAL GROUP, INC.
Employer identification number (EIN):	770495555
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Oregon Secretary of State Corporations Division
Incorporation Date:	2009-01-01
Company Identification Number:	56948590
Legal Registered Office Address:	201 MEDICAL LOOP SUITE 190 ROSEBURG United States of America (USA) 97471