2023 Form 5500 filing — Affiliated Supervalu Retail Outlets Welfare 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 20250612094458NAL0016667857001) for Affiliated Supervalu Retail Outlets Welfare Plan, reported by Affiliated Supervalu Retail Outlets Welfare Plan under EIN 25-1805823 and plan number 501. It reports 469 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).

Form 5500 3 · 2023

Filing snapshot

Net assets (EOY)$437.6KReported net assets$437,583

Participants469

Provider compensation$38.2K3 Schedule C row(s)$38,208

Schedules filedSchedule H, Schedule CLoaded schedules

EFAST2 acknowledgement: 20250612094458NAL0016667857001
Plan sponsor: Affiliated Supervalu Retail Outlets Welfare Plan
EIN: 25-1805823
Plan number: 501
Location: Greensburg, PA
Received date: not reported in the loaded dataset

How to read this filing

This is a single annual Form 5500 filing, identified by its EFAST2 acknowledgement id.
Schedule chips (Sch H / I / C) show which schedules this filing includes.
Net assets = total assets minus total liabilities (Schedule H/I).
Fields a filing did not report are labeled not reported in the loaded dataset — never estimated.
For the plan's full history, open the plan profile.

Schedule H · 2023

Reported financial snapshot

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

Reported balance (end of year)$465.1K total assets

Net assets$437.6KLiabilities$27.5K

Money in vs. money out

Total income / additions$235.7K

Total expenses$190.6K

Benefits paid / distributions$151.6K

Contributions

Employer$234.6K

Participant$1.1K

Full reported line items

Total assets (EOY): $465,092
Total liabilities (EOY): $27,509
Net assets (EOY): $437,583
Employer contributions: $234,633
Participant contributions: $1,072
Total income / additions: $235,726
Benefits paid: $151,575
Administrative expenses: $39,059
Total expenses: $190,634
Net increase / (decrease): $45,092

Schedule C

Reported service provider compensation

Compensation reported on the 2023 filing, ranked by reported total.

1
Sun Life Assurance Co Of Cananda$16.3K
CLAIMS PROCESSING · Direct $16.3K
2
C B Tracy & Associates Dba Tracyco$12.2K
CONTRACT ADMINISTRATOR · Direct $12.2K
3
Deluzio & Company, Llp$9.8K
AUDITING SERVICES · Direct $9.8K

What to inspect next

Frequently asked questions

What does EFAST2 acknowledgement 20250612094458NAL0016667857001 cover?: It is the 2023 Form 5500 filing for Affiliated Supervalu Retail Outlets Welfare Plan, reported by Affiliated Supervalu Retail Outlets Welfare Plan (EIN 25-1805823).
Which Form 5500 schedules are attached to this 2023 filing?: Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).