2023 Form 5500 filing — Dieffenbach'S Potato Chips, Inc 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 20240913092029NAL0005839875001) for Dieffenbach'S Potato Chips, Inc Group Medical Plan, reported by Dieffenbachs Potato Chips, Inc. under EIN 23-3044270 and plan number 501. It reports 129 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240913092029NAL0005839875001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Dieffenbachs Potato Chips, Inc.
- EIN
- 23-3044270
- Plan number
- 501
- Location
- Womelsdorf, PA
- Participants
- 129
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $194,796
- Total liabilities (EOY)
- $460,533
- Net assets (EOY)
- -$265,737
- Employer contributions
- $330,982
- Participant contributions
- $165,935
- Total income / additions
- $498,034
- Benefits paid
- $451,135
- Administrative expenses
- $190,526
- Total expenses
- $641,661
- Net increase / (decrease)
- -$143,627
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Patriot (Power-Kunkle Group, Inc.) | BROKER | $18,252 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $8,251 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $2,687 | not reported in the loaded dataset |