2023 Form 5500 filing — Ammonoosuc Community Health Services 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 20241002161010NAL0009116353001) for Ammonoosuc Community Health Services 403(B) Plan, reported by Ammonoosuc Community Health Services, Inc. under EIN 51-0137745 and plan number 001. It reports 134 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241002161010NAL0009116353001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Ammonoosuc Community Health Services, Inc.
- EIN
- 51-0137745
- Plan number
- 001
- Location
- Littleton, NH
- Participants
- 134
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $7,400,873
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $7,400,873
- Employer contributions
- $127,620
- Participant contributions
- $445,379
- Total income / additions
- $1,638,836
- Benefits paid
- $242,060
- Administrative expenses
- $41,299
- Total expenses
- $283,359
- Net increase / (decrease)
- $1,355,477
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Stancorp Financial Group | NONE | $20,286 | $1,476 |
| Community Financial Services Group | NONE | $20,863 | not reported in the loaded dataset |