Evergreen Family Medicine, P.C. 401(K) Plan — Form 5500 plan (Evergreen Family Medicine, P.C.)

Plain-English plan summary

According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, Evergreen Family Medicine, P.C. 401(K) Plan is a benefit plan reported by Evergreen Family Medicine, P.C. under EIN 93-1200207 and plan number 002. The latest loaded filing year is 2023. The filing reports 358 participants and $13,065,764 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Evergreen Family Medicine, P.C.
EIN
93-1200207
Plan number
002
Plan type
2
Location
Roseburg, OR
Latest filing year
2023
Participants
358
End-of-year plan assets
$13,065,764

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023358H, C20241014130640NAL0052359602001

Reported financial statement (2023 · Schedule H)

Net assets

Total assets (EOY)
$13,065,764
Total liabilities (EOY)
$0
Net assets (EOY)
$13,065,764
Net assets (BOY)
$9,741,004

Income & contributions

Employer contributions
$996,058
Participant contributions
$1,388,108
Total contributions
$2,442,591
Total income / additions
$4,299,447

Expenses & distributions

Benefits paid
$952,286
Administrative expenses
$22,401
Total expenses
$974,687
Net increase / (decrease)
$3,324,760

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Fidelity Investments InstitutionalRECORDKEEPER$22,401$02023

Related Form 5500 pages