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Original filing (PDF)20251001141103NAL0005967507001
BLACK HILLS REGIONAL EYE INSTITUTE, LLP
Form 5500
FILING_RECEIVED
BLACK HILLS REGIONAL EYE INSTITUTE 401(K) PLAN AND TRUST
401(k) retirement plan
Signals · 2
100% in single holdingNo recordkeeper disclosed
Active participants
113
Accounts w/ balance
137
Plan assets (EOY)
$17.4M
Net assets (EOY)
$17.4M
How this plan invests
This plan
1 pooled trust
Schedule D
1 securities
funds · stocks · CUSIPs
Holdings are itemized directly on this plan's Schedule of Assets, below.
Plan health score (directional)
93
/ 100
Grade A
Top-tier plan health
Directional indicator computed from public Form 5500 data — compliance, concentration, cost, vendor stack and participation. Not a fiduciary tool.
Compliance & disclosures
100
Concentration risk
75
Total plan cost
100
Vendor stack
80
Participation health
100
Knocking points off
- Top holding "[DFE: MASTER SEPARATE ACCOUNT (extraction pending)]" is 100% of plan.
- No recordkeeper disclosed on Schedule C.
Decision-maker contacts
CFO / Head of HR / Benefits Manager — verified email + LinkedIn for BLACK HILLS REGIONAL EYE INSTITUTE, LLP.
Plan sponsor
Name
BLACK HILLS REGIONAL EYE INSTITUTE, LLP
EIN
46-0461540
Address
2800 THIRD STREET · RAPID CITY, SD · 57701
Phone
(605) 341-2000
Industry
Offices of Physicians· Health Care & Social Assistancesee all
Plan administrator
Same as plan sponsor.
Plan characteristics
Plan number
001
Plan year
2024
Plan year begin
2024-01-01
Tax period
2024-12-31
Filed
2025-10-01
Pension benefit codes
2E · Profit-sharing
2F · ERISA section 404(c)
2G · Total participant-directed accounts
2J · 401(k) feature
2K · 401(m) arrangement
2T · Default investment account (QDIA)
3D · Pre-approved plan (master / prototype / VS)
3H · Sponsor in controlled / affiliated group
Audit & trust (Schedule H)
Auditor
KETEL THORSTENSON, LLP
Trustee / custodian
—
Trustee phone
—
Service providers (Schedule C)
2 rowsOther
2| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| SIKICH CAPITAL MANAGEMENT | 20-8014560 | — | NONE | $33K | — |
| STANCORP FINANCIAL GROUP | 93-1253576 | — | NONE | $19K | — |
Investments
1 pooled fund· $17.3M(99% of reported assets)
Rows tagged as a trust or pooled fund hold many underlying securities. Click one to drill into its own Schedule of Assets — where the individual funds, shares, and CUSIPs live.
| PI | Investment | Type | Shares / units | Cost | Current value | % of plan |
|---|---|---|---|---|---|---|
| MASTER SEPARATE ACCOUNT MINNESOTA LIFE INSURANCE COMPANY · EIN 41-0417830 / PN 900 | Pooled Separate Account | — | — | $17.3M | 99.4% |