2023 Form 5500 filing — Village Northwest Premium Conversion Cafeteria 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 20250414134509NAL0000800851002) for Village Northwest Premium Conversion Cafeteria Plan, reported by Village Northwest Unlimited under EIN 42-1044017 and plan number 502. It reports 116 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250414134509NAL0000800851002
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Village Northwest Unlimited
- EIN
- 42-1044017
- Plan number
- 502
- Location
- Sheldon, IA
- Participants
- 116
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $6,150,834
- Total liabilities (EOY)
- $105,981
- Net assets (EOY)
- $6,044,853
- Employer contributions
- $1,470,993
- Participant contributions
- $553,161
- Total income / additions
- $2,661,641
- Benefits paid
- $1,673,106
- Administrative expenses
- $96,933
- Total expenses
- $1,770,039
- Net increase / (decrease)
- $891,602
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Ari Services Ltd | BROKER | $6,985 | $0 |
| Group Benefits Ltd | BROKER | $5,156 | not reported in the loaded dataset |