2023 Form 5500 filing — Universal Primary Care 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 20241211092738NAL0011288657001) for Universal Primary Care 403(B) Plan, reported by Southern Tier Community Health Center Network, Inc. under EIN 20-0013066 and plan number 001. It reports 140 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241211092738NAL0011288657001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Southern Tier Community Health Center Network, Inc.
- EIN
- 20-0013066
- Plan number
- 001
- Location
- Olean, NY
- Participants
- 140
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $5,218,916
- Total liabilities (EOY)
- $1,080
- Net assets (EOY)
- $5,217,836
- Employer contributions
- $232,620
- Participant contributions
- $437,234
- Total income / additions
- $1,699,552
- Benefits paid
- $699,262
- Administrative expenses
- $21,718
- Total expenses
- $720,980
- Net increase / (decrease)
- $978,572
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Principal Life Insurance Company | CONTRACT ADMINISTRATOR | $20,382 | $0 |
| Morningstar Investment Management L | INV ADV, PARTICIPANTS | $0 | $0 |
| Wilshire Advisors LLC | INVESTMENT ADVISORY | $0 | $0 |