2023 Form 5500 filing — Clayton Block Company Inc And Affiliates Premium Only 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 20250505100743NAL0007795809001) for Clayton Block Company Inc And Affiliates Premium Only Plan, reported by Clayton Block Co, Inc. under EIN 21-0736808 and plan number 501. It reports 269 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).

Form 5500 2 · 2023

Filing snapshot

Net assets (EOY)Not reported
Participants269
Provider compensation$137.2K1 Schedule C row(s)$137,166
Schedules filedSchedule CLoaded schedules
EFAST2 acknowledgement
20250505100743NAL0007795809001
Plan sponsor
Clayton Block Co, Inc.
EIN
21-0736808
Plan number
501
Location
Lakewood, NJ
Received date
not reported in the loaded dataset
2023

Reported financial snapshot

Reported figures as filed, in whole dollars. Only fields the filing reports are shown.

This 2023 filing is loaded, but detailed Schedule H/I financial figures are not present for it in the current loaded dataset. Participant counts and filing identity above are reported; asset and contribution detail comes from the financial schedules where filed.

Reported service provider compensation (Schedule C)

Compensation reported on the 2023 filing
ProviderServiceDirect comp.Indirect comp.
Horizon Healthcare Services, Inc.CONTRACT ADMINISTRATOR$124,939$12,227

Related Form 5500 pages