2023 Form 5500 filing — Holdrege Family Vision Clinic Pc Self Funded Medical Reimbursement 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 20241226114505NAL0007695715001) for Holdrege Family Vision Clinic Pc Self Funded Medical Reimbursement Plan, reported by Holdrege Family Vision Clinic Pc under EIN 47-0616654 and plan number 501. It reports 5 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials).
- EFAST2 acknowledgement
- 20241226114505NAL0007695715001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Holdrege Family Vision Clinic Pc
- EIN
- 47-0616654
- Plan number
- 501
- Location
- Holdrege, NE
- Participants
- 5
- Schedules available
- Schedule I
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $13,766
- Total liabilities (EOY)
- $896
- Net assets (EOY)
- $12,870
- Employer contributions
- $21,674
- Total income / additions
- $22,043
- Benefits paid
- $2,584
- Administrative expenses
- $6,589
- Total expenses
- $9,173
- Net increase / (decrease)
- $12,870
- Schedule source
- Schedule I