2023 Form 5500 filing — Elica Health Centers 403(B) 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 20240724165420NAL0020995216001) for Elica Health Centers 403(B) Plan, reported by Elica Health Centers under EIN 37-1424390 and plan number 001. It reports 621 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240724165420NAL0020995216001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Elica Health Centers
- EIN
- 37-1424390
- Plan number
- 001
- Location
- Sacramento, CA
- Participants
- 621
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $7,413,802
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $7,413,802
- Employer contributions
- $717,374
- Participant contributions
- $1,654,596
- Total income / additions
- $3,499,218
- Benefits paid
- $713,029
- Administrative expenses
- $33,124
- Total expenses
- $746,153
- Net increase / (decrease)
- $2,753,065
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Ameritas Life Insurnce Corporation | RECORDKEEPER | $28,000 | $0 |
| Farmer & Betts, Inc. | THIRD PARTY ADMIN | $5,125 | not reported in the loaded dataset |