Jill Simmons Payroll

Form 5500

JILL SIMMONS PAYROLL

PO Box 8158, Bend, Or 97708 (541) 317-0158 EIN:93-1281844 Plan Admin:Jill Simmons

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NameJILL SIMMONS PAYROLL 401(K) PLAN Plan #001 Participants BOY/EOY3 / 3 Assets BOY/EOY$144,758 / $120,907	2022	JILL SIMMONS PAYROLL 401(K) PLAN - Plan #001	3 / 3	$144,758 / $120,907
2021	Plan NameJILL SIMMONS PAYROLL 401(K) PLAN Plan #001 Participants BOY/EOY4 / 3 Assets BOY/EOY$124,407 / $144,758	2021	JILL SIMMONS PAYROLL 401(K) PLAN - Plan #001	4 / 3	$124,407 / $144,758
2020	Plan NameJILL SIMMONS PAYROLL 401(K) PLAN Plan #001 Participants BOY/EOY5 / 4 Assets BOY/EOY$98,546 / $124,407	2020	JILL SIMMONS PAYROLL 401(K) PLAN - Plan #001	5 / 4	$98,546 / $124,407
2019	Plan NameJILL SIMMONS PAYROLL 401(K) PLAN Plan #001 Participants BOY/EOY5 / 5 Assets BOY/EOY$0 / $98,546	2019	JILL SIMMONS PAYROLL 401(K) PLAN - Plan #001	5 / 5	$0 / $98,546