2023 Form 5500 filing — Community Medical Center Inc. Tax Deferred Annuity 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 20240827080611NAL0005971907001) for Community Medical Center Inc. Tax Deferred Annuity Plan, reported by Community Medical Center Inc. under EIN 47-0421272 and plan number 004. It reports 221 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240827080611NAL0005971907001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Community Medical Center Inc.
- EIN
- 47-0421272
- Plan number
- 004
- Location
- Falls City, NE
- Participants
- 221
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $14,617,283
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $14,617,283
- Employer contributions
- $460,290
- Participant contributions
- $685,838
- Total income / additions
- $3,230,113
- Benefits paid
- $1,004,567
- Administrative expenses
- $48,936
- Total expenses
- $1,053,503
- Net increase / (decrease)
- $2,176,610
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Oneamerica Retirement Services, LLC | NONE | $28,936 | not reported in the loaded dataset |
| Usi Advisors | NONE | $20,000 | not reported in the loaded dataset |
| Matrix Trust Company | NONE | $0 | $0 |
| Mscs Fin Services Div Of Broadridge | NONE | $0 | $0 |