2023 Form 5500 filing — Sequoyah Electric Cafeteria 125 Unreimbursed Medical 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 20250709134546NAL0008184592001) for Sequoyah Electric Cafeteria 125 Unreimbursed Medical Benefit Plan, reported by Sequoyah Electric, LLC under EIN 47-0898645 and plan number 501. It reports 23 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials).

Form 5500 2 · 2023

Filing snapshot

Net assets (EOY)$3.6KReported net assets$3,625
Participants23
Provider compensationNone reported
Schedules filedSchedule ILoaded schedules
EFAST2 acknowledgement
20250709134546NAL0008184592001
Plan sponsor
Sequoyah Electric, LLC
EIN
47-0898645
Plan number
501
Location
Redmond, WA
Received date
not reported in the loaded dataset
Schedule I · 2023

Reported financial snapshot

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

Reported balance (end of year)$3.6K total assets
Net assets$3.6KLiabilities
Money in vs. money out
Total income / additions$51.9K
Total expenses$56.7K
Benefits paid / distributions$48.5K
Contributions
EmployerNot reported
Participant$51.9K
Full reported line items
Total assets (EOY)
$3,625
Net assets (EOY)
$3,625
Participant contributions
$51,885
Total income / additions
$51,885
Benefits paid
$48,540
Total expenses
$56,681
Net increase / (decrease)
-$4,796

Related Form 5500 pages