2023 Form 5500 filing — Attebury Grain LLC Health Benefit 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 20250325145001NAL0014442257001) for Attebury Grain LLC Health Benefit Plan, reported by Attebury Grain, LLC under EIN 75-1708605 and plan number 501. It reports 113 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250325145001NAL0014442257001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Attebury Grain, LLC
- EIN
- 75-1708605
- Plan number
- 501
- Location
- Amarillo, TX
- Participants
- 113
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Employer contributions
- $1,522,156
- Participant contributions
- $260,520
- Total income / additions
- $1,782,676
- Benefits paid
- $1,674,852
- Administrative expenses
- $107,824
- Total expenses
- $1,782,676
- Net increase / (decrease)
- $0
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Insurance Management Services | THIRD PARTY ADMINISTRATOR | $60,557 | not reported in the loaded dataset |
| Upshaw Insurance Agency | INSURANCE AGENT | $30,143 | not reported in the loaded dataset |
| American Health Holding, Inc. | RX MANAGEMENT | $5,400 | not reported in the loaded dataset |