2023 Form 5500 filing — Pine Hill Manufacturing, LLC Group 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 20250121075844NAL0003319217001) for Pine Hill Manufacturing, LLC Group Health Plan, reported by Pine Hill Manufacturing, LLC under EIN 23-3035227 and plan number 501. It reports 49 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).
Form 5500 2 · 2023
Filing snapshot
Net assets (EOY)$102.1KReported net assets$102,076
Participants49
Provider compensation$36.7K4 Schedule C row(s)$36,668
Schedules filedSchedule I, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20250121075844NAL0003319217001
- Plan sponsor
- Pine Hill Manufacturing, LLC
- EIN
- 23-3035227
- Plan number
- 501
- Location
- Gordonville, PA
- Received date
- not reported in the loaded dataset
Schedule I · 2023
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
Reported balance (end of year)$126.8K total assets
Net assets$102.1KLiabilities$24.7K
Full reported line items
- Total assets (EOY)
- $126,771
- Total liabilities (EOY)
- $24,695
- Net assets (EOY)
- $102,076
- Employer contributions
- $351,175
- Participant contributions
- $185,663
- Total income / additions
- $543,120
- Benefits paid
- $186,012
- Administrative expenses
- $3,618
- Total expenses
- $441,044
- Net increase / (decrease)
- $102,076
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Ccab Insurance & Benefits, Inc. | BROKER | $18,090 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $11,668 | not reported in the loaded dataset |
| Capital Bluecross | ADMIN | $3,618 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $3,292 | not reported in the loaded dataset |