2023 Form 5500 filing — Excelsior Wellness 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 20241015151633NAL0016725347001) for Excelsior Wellness 403(B) Plan, reported by Excelsior Wellness under EIN 91-1189908 and plan number 002. It reports 269 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241015151633NAL0016725347001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Excelsior Wellness
- EIN
- 91-1189908
- Plan number
- 002
- Location
- Spokane, WA
- Participants
- 269
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $3,838,978
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $3,838,978
- Employer contributions
- $225,492
- Participant contributions
- $417,251
- Total income / additions
- $1,201,367
- Benefits paid
- $352,624
- Administrative expenses
- $7,565
- Total expenses
- $372,663
- Net increase / (decrease)
- $828,704
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Professional Benefit Services, Inc. | CONTRACT ADMIN | $500 | not reported in the loaded dataset |
| Capital Group Retirement Plan Servi | RECORDKEEPER | $188 | $0 |