2023 Form 5500 filing — Local 495 Race Track Employees Supplemental Welfare Trust
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 20250220180201NAL0004343619001) for Local 495 Race Track Employees Supplemental Welfare Trust, reported by Teamsters Automotive Industrial & Allied Workers Local 495 under EIN 95-6115963 and plan number 501. It reports 255 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250220180201NAL0004343619001
- Filing year
- 2023
- Form type
- 1
- Plan sponsor
- Teamsters Automotive Industrial & Allied Workers Local 495
- EIN
- 95-6115963
- Plan number
- 501
- Location
- Pasadena, CA
- Participants
- 255
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $2,964,304
- Total liabilities (EOY)
- $10,580
- Net assets (EOY)
- $2,953,724
- Employer contributions
- $684,144
- Participant contributions
- $73,770
- Total income / additions
- $851,478
- Benefits paid
- $512,803
- Administrative expenses
- $45,481
- Total expenses
- $558,284
- Net increase / (decrease)
- $293,194
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Northwest Administrators, Inc. | NONE | $23,766 | not reported in the loaded dataset |
| David Brody & Co. | NONE | $7,900 | not reported in the loaded dataset |