2023 Form 5500 filing — Twin Cities Pain Clinic And Affiliates 401(K) Plan
Plain-English filing 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, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20240712082445NAL0009884227001) for Twin Cities Pain Clinic And Affiliates 401(K) Plan, reported by Andrew J. Will, Md, Pa Dba Twin Cities Pain Clinic under EIN 87-0692497 and plan number 001. It reports 186 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240712082445NAL0009884227001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Andrew J. Will, Md, Pa Dba Twin Cities Pain Clinic
- EIN
- 87-0692497
- Plan number
- 001
- Location
- Edina, MN
- Participants
- 186
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $7,470,645
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $7,470,645
- Employer contributions
- $368,344
- Participant contributions
- $774,426
- Total income / additions
- $2,406,948
- Benefits paid
- $571,751
- Administrative expenses
- $20,175
- Total expenses
- $591,926
- Net increase / (decrease)
- $1,815,022
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| American United Life Insurance | NONE | $1,031 | $32,944 |
| Northwestern Mutual Wm | NONE | $0 | $19,519 |