2023 Form 5500 filing — Roy Dental Lab, Inc. Self Funded Medical Reimbursement 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 20250709124507NAL0005689521001) for Roy Dental Lab, Inc. Self Funded Medical Reimbursement Plan, reported by Roy Dental Lab, Inc. under EIN 35-2014161 and plan number 501. It reports 7 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials).

EFAST2 acknowledgement
20250709124507NAL0005689521001
Filing year
2023
Form type
2
Plan sponsor
Roy Dental Lab, Inc.
EIN
35-2014161
Plan number
501
Location
New Albany, IN
Participants
7
Schedules available
Schedule I
Received date
not reported in the loaded dataset

Reported financial snapshot (2023)

Total assets (EOY)
$9,492
Net assets (EOY)
$9,492
Employer contributions
$1,179
Participant contributions
$16,886
Total income / additions
$18,396
Benefits paid
$2,069
Administrative expenses
$10,105
Total expenses
$12,174
Net increase / (decrease)
$6,222
Schedule source
Schedule I

Related Form 5500 pages