2023 Form 5500 filing — Form-Up Foundations, LLC Employee Group Medical Plan
Plain-English filing summary
According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20240613101002NAL0016315283001) for Form-Up Foundations, LLC Employee Group Medical Plan, reported by Form-Up Foundations, LLC under EIN 27-1080938 and plan number 501. It reports 35 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240613101002NAL0016315283001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Form-Up Foundations, LLC
- EIN
- 27-1080938
- Plan number
- 501
- Location
- Rindge, NH
- Participants
- 35
- Schedules available
- Schedule I, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $58,161
- Total liabilities (EOY)
- $6,711
- Net assets (EOY)
- $51,450
- Employer contributions
- $178,162
- Participant contributions
- $96,602
- Total income / additions
- $275,568
- Benefits paid
- $82,909
- Administrative expenses
- $24,044
- Total expenses
- $224,118
- Net increase / (decrease)
- $51,450
- Schedule source
- Schedule I
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Health Plans, Inc | ADMIN | $25,842 | not reported in the loaded dataset |
| Richards, Inc. | BROKER | $14,455 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $10,019 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $2,189 | not reported in the loaded dataset |