DOL Form 5500 · JSON-LD · Markdown

EVERGREEN FAMILY MEDICINE EMPLOYEE BENEFIT PLAN

Sponsored by EVERGREEN FAMILY MEDICINE · EIN 931200207 · OR

Participants
236
Active
254
Retired/sep receiving
0

Welfare benefits

4A4B4D4E4H4L4Q 4A4B4D4E4H4L4Q

Sponsor + Administrator

SponsorEVERGREEN FAMILY MEDICINE
Sponsor EIN931200207
Address2570 EDENBOWER, SUITE 100, ROSEBURG, OR, 97470
Phone5412293304
Business code (NAICS)621111
Plan number501
Plan effective2016-01-01
Filed for year2024
FundingInsurance contracts, General assets

External sources

Source: DOL EBSA Form 5500 disclosure. Public domain.