2023 Form 5500 filing — Employee Health Plan Of Tri County Internal Medicine, Pc

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 20241226094906NAL0007646355001) for Employee Health Plan Of Tri County Internal Medicine, Pc, reported by Tri County Internal Medicine, Pc under EIN 58-2635783 and plan number 502. It reports 13 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials).

EFAST2 acknowledgement
20241226094906NAL0007646355001
Filing year
2023
Form type
2
Plan sponsor
Tri County Internal Medicine, Pc
EIN
58-2635783
Plan number
502
Location
Sugar Hill, GA
Participants
13
Schedules available
Schedule I
Received date
not reported in the loaded dataset

Reported financial snapshot (2023)

Net assets (EOY)
$0
Employer contributions
$156,716
Total income / additions
$156,716
Benefits paid
$77,412
Total expenses
$156,716
Net increase / (decrease)
$0
Schedule source
Schedule I

Related Form 5500 pages