2023 Form 5500 filing — In-N-Out Burger Self-Insured Short Term Disability 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 20240923175901NAL0011799089001) for In-N-Out Burger Self-Insured Short Term Disability Plan, reported by In-N-Out Burgers, A California Corporation under EIN 95-2246829 and plan number 502. It reports 929 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240923175901NAL0011799089001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- In-N-Out Burgers, A California Corporation
- EIN
- 95-2246829
- Plan number
- 502
- Location
- Irvine, CA
- Participants
- 929
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $321,717
- Total liabilities (EOY)
- $12,178
- Net assets (EOY)
- $309,539
- Participant contributions
- $832,392
- Total income / additions
- $834,871
- Benefits paid
- $676,142
- Administrative expenses
- $101,798
- Total expenses
- $777,940
- Net increase / (decrease)
- $56,931
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Sedgwick Cms | THIRD PARTY ADMINISTRATOR | $67,149 | not reported in the loaded dataset |
| Humaculture, Inc | SERVICE PROVIDER | $16,500 | not reported in the loaded dataset |
| Windes, Inc | SERVICE PROVIDER | $12,000 | not reported in the loaded dataset |
| Us Bank | SERVICE PROVIDER | $5,935 | not reported in the loaded dataset |