2023 Form 5500 filing — Thomas 5 Ltd. LLC Employee Health & Welfare 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 20250702110742NAL0007257187001) for Thomas 5 Ltd. LLC Employee Health & Welfare Benefit Plan, reported by Thomas 5 Ltd. LLC under EIN 20-0021258 and plan number 502. It reports 155 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250702110742NAL0007257187001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Thomas 5 Ltd. LLC
- EIN
- 20-0021258
- Plan number
- 502
- Location
- Dublin, OH
- Participants
- 155
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $354,105
- Total liabilities (EOY)
- $293,950
- Net assets (EOY)
- $60,155
- Employer contributions
- $1,744,330
- Participant contributions
- $329,520
- Total income / additions
- $2,073,850
- Benefits paid
- $1,831,959
- Administrative expenses
- $195,965
- Total expenses
- $2,027,924
- Net increase / (decrease)
- $45,926
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Business Administrators & Cons. Inc | CONTRACT ADMINISTRATOR | $108,857 | not reported in the loaded dataset |
| Emerald Financial Services | INSURANCE AGENT | $43,700 | not reported in the loaded dataset |
| Cigna Health & Life Insurance | NETWORK PROVIDER | $38,371 | not reported in the loaded dataset |
| Co & Co Tax And Accounting Services | AUDITOR | $5,150 | not reported in the loaded dataset |