# PAIN INSTITUTE OF SOUTHERN ARIZONA, P.C. 401(K) PROFIT SHARING PLAN

DOL Acknowledgment ID: 20251015170358NAL0010455042001
Plan number: 001
Plan effective date: 2006-01-01
Form year: 2024

## Sponsor

- Name: PAIN INSTITUTE OF SOUTHERN ARIZONA, PISA P.C.
- EIN: 870728777
- Address: 4881 E. GRANT ROAD, STE 101, TUCSON, AZ, 85712
- Phone: 5203186035
- Business code: 621111

## Administrator

- Name: —
- EIN: —
- Phone: —

## Participation

- Total participants (beginning of year): 128
- Active participants: 139
- Retired / separated receiving benefits: 0
- Beneficiaries receiving benefits: 0
- Participants with account balance: 105

## Plan types

### Pension benefits
- 2E2F2G2J2K2T3D2A2R: 2E2F2G2J2K2T3D2A2R

### Welfare benefits
—

## Funding & flags

- Funding sources: Insurance contracts, Trust
- Collective bargaining: No
- Amended filing: Yes
- Final filing: No

## Source

- DOL EFAST2 filing lookup: https://efast.dol.gov/5500Search/PlanFilings.aspx?AckID=20251015170358NAL0010455042001
- IRS BMF (sponsor): https://api.morvs.ai/nonprofit/870728777