DOL Form 5500 · JSON-LD · Markdown
Sponsored by PERPETUA MEDICAL PC · EIN 472984061 · OR
2A2E2J 2A2E2J
| Sponsor | PERPETUA MEDICAL PC |
|---|---|
| Sponsor EIN | 472984061 |
| Address | PO BOX 475, LEBANON, OR, 97355 |
| Phone | 5418540304 |
| Business code (NAICS) | 621111 |
| Plan number | 001 |
| Plan effective | 2021-12-01 |
| Filed for year | 2024 |
| Funding | Trust |
Source: DOL EBSA Form 5500 disclosure. Public domain.