2023 Form 5500 filing — Athens Restaurant Employees' Health 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 20241106122958NAL0005285875001) for Athens Restaurant Employees' Health Plan, reported by Zaxby'S Franchising LLC under EIN 58-2129090 and plan number 501. It reports 1,437 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241106122958NAL0005285875001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Zaxby'S Franchising LLC
- EIN
- 58-2129090
- Plan number
- 501
- Location
- Athens, GA
- Participants
- 1,437
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $6,214,663
- Total liabilities (EOY)
- $475,389
- Net assets (EOY)
- $5,739,274
- Employer contributions
- $5,427,093
- Participant contributions
- $2,227,061
- Total income / additions
- $7,815,086
- Benefits paid
- $7,332,811
- Administrative expenses
- $376,973
- Total expenses
- $7,709,784
- Net increase / (decrease)
- $105,302
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Bcbs Healthcare Plan Of Georgia | CONTRACT ADMINISTRATOR | $329,271 | not reported in the loaded dataset |
| Ameriben / Iec Group | THIRD PARTY ADMINISTRATO | $249,645 | not reported in the loaded dataset |