401k Plan data: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN plan

CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN
Plan identification number	001

CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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

CHEYENNE WOMEN'S CLINIC has sponsored the creation of one or more 401k plans.

Company Name: CHEYENNE WOMEN'S CLINIC

Employer identification number (EIN): 770644334

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 JACQUES DAVID BEVERIDGE 2023-10-11
001 2021-01-01 JACQUES BEVERIDGE 2022-09-26
001 2020-01-01 MEGAN E. LOOBY 2021-10-08
001 2019-01-01 RENE R. HINKLE 2020-10-13
001 2018-01-01
001 2017-01-01
001 2016-01-01
001 2015-01-01 JEFFREY STOREY 2016-03-11
001 2014-01-01 JEFFREY STOREY 2015-02-23
001 2013-01-01 JEFFREY STOREY 2014-02-18
001 2012-01-01 JEFFREY STOREY 2013-02-11
001 2011-01-01 JEFFREY STOREY 2012-02-27
001 2010-01-01 JEFFREY STOREY 2011-02-21

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01	JACQUES DAVID BEVERIDGE	2023-10-11
001	2021-01-01	JACQUES BEVERIDGE	2022-09-26
001	2020-01-01	MEGAN E. LOOBY	2021-10-08
001	2019-01-01	RENE R. HINKLE	2020-10-13
001	2018-01-01
001	2017-01-01
001	2016-01-01
001	2015-01-01	JEFFREY STOREY	2016-03-11
001	2014-01-01	JEFFREY STOREY	2015-02-23
001	2013-01-01	JEFFREY STOREY	2014-02-18
001	2012-01-01	JEFFREY STOREY	2013-02-11
001	2011-01-01	JEFFREY STOREY	2012-02-27
001	2010-01-01	JEFFREY STOREY	2011-02-21

Plan Statistics for CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 27
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 11
Number of other retired or separated participants entitled to future benefits 2022-01-01 10
Total of all active and inactive participants 2022-01-01 21
Total participants 2022-01-01 21
Number of participants with account balances 2022-01-01 21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 4
2021: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 17
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 7
Total of all active and inactive participants 2021-01-01 24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 24
Number of participants with account balances 2021-01-01 24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 25
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 18
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 5
Total of all active and inactive participants 2020-01-01 23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 23
Number of participants with account balances 2020-01-01 23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 5
2019: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 25
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 19
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 3
Total of all active and inactive participants 2019-01-01 22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 22
Number of participants with account balances 2019-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 2
2018: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 18
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 4
Total of all active and inactive participants 2018-01-01 22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 22
Number of participants with account balances 2018-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 2
2017: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 17
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 5
Total of all active and inactive participants 2017-01-01 22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 22
Number of participants with account balances 2017-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 1
2016: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 21
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 18
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 5
Total of all active and inactive participants 2016-01-01 23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 23
Number of participants with account balances 2016-01-01 23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 2

Measure	Date	Value
2022: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	27
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	11
Number of other retired or separated participants entitled to future benefits	2022-01-01	10
Total of all active and inactive participants	2022-01-01	21
Total participants	2022-01-01	21
Number of participants with account balances	2022-01-01	21
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	4
2021: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	17
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	7
Total of all active and inactive participants	2021-01-01	24
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	24
Number of participants with account balances	2021-01-01	24
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	25
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	18
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	5
Total of all active and inactive participants	2020-01-01	23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	23
Number of participants with account balances	2020-01-01	23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	5
2019: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	25
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	19
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	3
Total of all active and inactive participants	2019-01-01	22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	22
Number of participants with account balances	2019-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	2
2018: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	18
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	4
Total of all active and inactive participants	2018-01-01	22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	22
Number of participants with account balances	2018-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	2
2017: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	17
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	5
Total of all active and inactive participants	2017-01-01	22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	22
Number of participants with account balances	2017-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	1
2016: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	21
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	18
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	5
Total of all active and inactive participants	2016-01-01	23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	23
Number of participants with account balances	2016-01-01	23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	2

Financial Data on CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2022 : CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources	2022-12-31	$-1,237,661
Expenses. Total of all expenses incurred	2022-12-31	$35,809
Benefits paid (including direct rollovers)	2022-12-31	$35,675
Total plan assets at end of year	2022-12-31	$5,827,582
Total plan assets at beginning of year	2022-12-31	$7,101,052
Value of fidelity bond covering the plan	2022-12-31	$500,000
Total contributions received or receivable from participants	2022-12-31	$120,076
Other income received	2022-12-31	$-1,542,367
Net income (gross income less expenses)	2022-12-31	$-1,273,470
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$5,827,582
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$7,101,052
Assets. Value of participant loans	2022-12-31	$57,974
Assets. Value of real-estate (other than employer real property)	2022-12-31	$599,894
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2022-12-31	$7,332
Total contributions received or receivable from employer(s)	2022-12-31	$184,630
Expenses. Administrative service providers (salaries,fees and commissions)	2022-12-31	$134
2021 : CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$993,271
Expenses. Total of all expenses incurred	2021-12-31	$1,584,739
Benefits paid (including direct rollovers)	2021-12-31	$1,585,828
Total plan assets at end of year	2021-12-31	$7,101,052
Total plan assets at beginning of year	2021-12-31	$7,692,520
Value of fidelity bond covering the plan	2021-12-31	$500,000
Total contributions received or receivable from participants	2021-12-31	$119,545
Other income received	2021-12-31	$697,398
Net income (gross income less expenses)	2021-12-31	$-591,468
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$7,101,052
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$7,692,520
Assets. Value of participant loans	2021-12-31	$44,297
Assets. Value of real-estate (other than employer real property)	2021-12-31	$592,362
Total contributions received or receivable from employer(s)	2021-12-31	$176,328
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$-1,089
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$1,924,719
Expenses. Total of all expenses incurred	2020-12-31	$503,994
Benefits paid (including direct rollovers)	2020-12-31	$503,230
Total plan assets at end of year	2020-12-31	$7,692,520
Total plan assets at beginning of year	2020-12-31	$6,271,795
Value of fidelity bond covering the plan	2020-12-31	$500,000
Total contributions received or receivable from participants	2020-12-31	$145,989
Contributions received from other sources (not participants or employers)	2020-12-31	$100,000
Other income received	2020-12-31	$1,516,372
Net income (gross income less expenses)	2020-12-31	$1,420,725
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$7,692,520
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$6,271,795
Assets. Value of participant loans	2020-12-31	$45,242
Assets. Value of real-estate (other than employer real property)	2020-12-31	$228,214
Total contributions received or receivable from employer(s)	2020-12-31	$162,358
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$764
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$1,576,553
Expenses. Total of all expenses incurred	2019-12-31	$213,697
Benefits paid (including direct rollovers)	2019-12-31	$212,574
Total plan assets at end of year	2019-12-31	$6,271,795
Total plan assets at beginning of year	2019-12-31	$4,908,939
Value of fidelity bond covering the plan	2019-12-31	$675,000
Total contributions received or receivable from participants	2019-12-31	$134,012
Contributions received from other sources (not participants or employers)	2019-12-31	$53,558
Other income received	2019-12-31	$1,185,809
Net income (gross income less expenses)	2019-12-31	$1,362,856
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$6,271,795
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$4,908,939
Assets. Value of participant loans	2019-12-31	$52,092
Assets. Value of real-estate (other than employer real property)	2019-12-31	$214,836
Total contributions received or receivable from employer(s)	2019-12-31	$203,174
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$1,123
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$84,202
Expenses. Total of all expenses incurred	2018-12-31	$97,308
Benefits paid (including direct rollovers)	2018-12-31	$93,258
Total plan assets at end of year	2018-12-31	$4,908,939
Total plan assets at beginning of year	2018-12-31	$4,922,045
Value of fidelity bond covering the plan	2018-12-31	$670,000
Total contributions received or receivable from participants	2018-12-31	$132,852
Other income received	2018-12-31	$-252,067
Net income (gross income less expenses)	2018-12-31	$-13,106
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$4,908,939
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$4,922,045
Assets. Value of participant loans	2018-12-31	$59,221
Assets. Value of real-estate (other than employer real property)	2018-12-31	$201,781
Total contributions received or receivable from employer(s)	2018-12-31	$203,417
Value of certain deemed distributions of participant loans	2018-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$4,050
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$1,173,507
Expenses. Total of all expenses incurred	2017-12-31	$184,076
Benefits paid (including direct rollovers)	2017-12-31	$174,519
Total plan assets at end of year	2017-12-31	$4,922,045
Total plan assets at beginning of year	2017-12-31	$3,932,614
Value of fidelity bond covering the plan	2017-12-31	$580,000
Total contributions received or receivable from participants	2017-12-31	$127,729
Contributions received from other sources (not participants or employers)	2017-12-31	$9,358
Other income received	2017-12-31	$812,233
Net income (gross income less expenses)	2017-12-31	$989,431
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$4,922,045
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$3,932,614
Assets. Value of participant loans	2017-12-31	$61,787
Assets. Value of real-estate (other than employer real property)	2017-12-31	$194,004
Total contributions received or receivable from employer(s)	2017-12-31	$224,187
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$9,557
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$682,716
Expenses. Total of all expenses incurred	2016-12-31	$21,597
Benefits paid (including direct rollovers)	2016-12-31	$3,875
Total plan assets at end of year	2016-12-31	$3,932,614
Total plan assets at beginning of year	2016-12-31	$3,271,495
Value of fidelity bond covering the plan	2016-12-31	$330,000
Total contributions received or receivable from participants	2016-12-31	$137,988
Contributions received from other sources (not participants or employers)	2016-12-31	$54,315
Other income received	2016-12-31	$242,273
Net income (gross income less expenses)	2016-12-31	$661,119
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$3,932,614
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$3,271,495
Assets. Value of participant loans	2016-12-31	$43,370
Assets. Value of real-estate (other than employer real property)	2016-12-31	$209,000
Total contributions received or receivable from employer(s)	2016-12-31	$248,140
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$17,722
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0

Form 5500 Responses for CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN

2022: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
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 – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
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: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 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: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 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: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 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
2016: CHEYENNE WOMEN'S CLINIC 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	CHEYENNE WOMEN'S CLINIC
Employer identification number (EIN):	770644334
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)