Lake Washington Private Medicine, Inc.

Form 5500

LAKE WASHINGTON PRIVATE MEDICINE, INC.

3046 - 61st Ave Se, Mercer Island, Wa 98040 (206) 200-5867 EIN:32-0071647 Plan Admin:David Naibert

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2021	Plan NameLAKE WASHINGTON PAIN MANAGEMENT CASH BALANCE PLAN Plan #002 Participants BOY/EOY1 / 0 Assets BOY/EOY$149,827 / $0	2021	LAKE WASHINGTON PAIN MANAGEMENT CASH BALANCE PLAN - Plan #002	1 / 0	$149,827 / $0
2020	Plan NameLAKE WASHINGTON PAIN MANAGEMENT CASH BALANCE PLAN Plan #002 Participants BOY/EOY4 / 1 Assets BOY/EOY$146,051 / $149,827	2020	LAKE WASHINGTON PAIN MANAGEMENT CASH BALANCE PLAN - Plan #002	4 / 1	$146,051 / $149,827
2020	Plan NameLAKE WASHINGTON PAIN MANAGEMENT 401(K) PLAN Plan #001 Participants BOY/EOY4 / 0 Assets BOY/EOY$481,876 / $0	2020	LAKE WASHINGTON PAIN MANAGEMENT 401(K) PLAN - Plan #001	4 / 0	$481,876 / $0
2019	Plan NameLAKE WASHINGTON PAIN MANAGEMENT 401(K) PLAN Plan #001 Participants BOY/EOY4 / 4 Assets BOY/EOY$337,775 / $481,876	2019	LAKE WASHINGTON PAIN MANAGEMENT 401(K) PLAN - Plan #001	4 / 4	$337,775 / $481,876
2019	Plan NameLAKE WASHINGTON PAIN MANAGEMENT CASH BALANCE PLAN Plan #002 Participants BOY/EOY6 / 6 Assets BOY/EOY$119,824 / $146,051	2019	LAKE WASHINGTON PAIN MANAGEMENT CASH BALANCE PLAN - Plan #002	6 / 6	$119,824 / $146,051