2023 Form 5500 filing — H. M. Automotive, Inc. Self Funded Medical Reimbursement 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 20240830174505NAL0024370928001) for H. M. Automotive, Inc. Self Funded Medical Reimbursement Plan, reported by H. M. Automotive, Inc. under EIN 37-1363708 and plan number 552. It reports 31 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials).

EFAST2 acknowledgement
20240830174505NAL0024370928001
Filing year
2023
Form type
2
Plan sponsor
H. M. Automotive, Inc.
EIN
37-1363708
Plan number
552
Location
Centralia, IL
Participants
31
Schedules available
Schedule I
Received date
not reported in the loaded dataset

Reported financial snapshot (2023)

Total assets (EOY)
$3,269
Net assets (EOY)
$3,269
Employer contributions
$141,938
Participant contributions
$79,204
Total income / additions
$222,945
Benefits paid
$202,229
Administrative expenses
$51,995
Total expenses
$254,224
Net increase / (decrease)
-$31,279
Schedule source
Schedule I

Related Form 5500 pages