PRIMARY CARE PARTNERS VISION BENEFIT PLAN 401k Plan overview

PRIMARY CARE PARTNERS VISION BENEFIT PLAN Benefits

401k Sponsoring company profile

Company Name:	PRIMARY CARE PARTNERS, P.C.
Employer identification number (EIN):	841456669
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
503	2019-01-01	TRINA KELLER	2021-07-23
503	2018-01-01	TRINA KELLER	2021-07-23
503	2017-01-01	TRINA KELLER	2021-07-23
503	2016-01-01	TRINA KELLER	2021-07-23
503	2015-01-01	TRINA KELLER	2021-07-23

Plan Statistics for PRIMARY CARE PARTNERS VISION BENEFIT PLAN

Measure	Date	Value
2019: PRIMARY CARE PARTNERS VISION BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	144
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
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	0
Total of all active and inactive participants	2019-01-01	0
Number of employers contributing to the scheme	2019-01-01	0
2018: PRIMARY CARE PARTNERS VISION BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	144
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	144
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	0
Total of all active and inactive participants	2018-01-01	144
Number of employers contributing to the scheme	2018-01-01	0
2017: PRIMARY CARE PARTNERS VISION BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	133
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	144
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	0
Total of all active and inactive participants	2017-01-01	144
Number of employers contributing to the scheme	2017-01-01	0
2016: PRIMARY CARE PARTNERS VISION BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	130
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	133
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	0
Total of all active and inactive participants	2016-01-01	133
Number of employers contributing to the scheme	2016-01-01	0
2015: PRIMARY CARE PARTNERS VISION BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	58
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	130
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	130
Number of employers contributing to the scheme	2015-01-01	0

Form 5500 Responses for PRIMARY CARE PARTNERS VISION BENEFIT PLAN

Insurance Providers Used on plan

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