# ODFMC, INC. WELFARE BENEFIT PLAN

DOL Acknowledgment ID: 20250902154909NAL0008564355001
Plan number: 501
Plan effective date: 2007-01-01
Form year: 2024

## Sponsor

- Name: OPEN DOOR FAMILY MEDICAL CENTER, INC.
- EIN: 132813103
- Address: 165 MAIN STREET, OSSINING, NY, 105624702
- Phone: 9145021457
- Business code: 621399

## Administrator

- Name: —
- EIN: —
- Phone: —

## Participation

- Total participants (beginning of year): 455
- Active participants: 459
- Retired / separated receiving benefits: 3
- Beneficiaries receiving benefits: —
- Participants with account balance: —

## Plan types

### Pension benefits
—

### Welfare benefits
- 4A4B4D4E4F4H4L4Q: 4A4B4D4E4F4H4L4Q

## Funding & flags

- Funding sources: Insurance contracts, General assets
- Collective bargaining: No
- Amended filing: No
- Final filing: No

## Source

- DOL EFAST2 filing lookup: https://efast.dol.gov/5500Search/PlanFilings.aspx?AckID=20250902154909NAL0008564355001
- IRS BMF (sponsor): https://api.morvs.ai/nonprofit/132813103