2023 Form 5500 filing — Claxton Poultry Farms Employee Medical 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 20250724085451NAL0002332563001) for Claxton Poultry Farms Employee Medical Plan, reported by Norman W. Fries, Inc. under EIN 58-0703332 and plan number 501. It reports 816 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250724085451NAL0002332563001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Norman W. Fries, Inc.
- EIN
- 58-0703332
- Plan number
- 501
- Location
- Claxton, GA
- Participants
- 816
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $1,413,089
- Total liabilities (EOY)
- $1,413,089
- Net assets (EOY)
- $0
- Employer contributions
- $7,920,823
- Participant contributions
- $1,245,948
- Total income / additions
- $9,166,771
- Benefits paid
- $8,492,961
- Administrative expenses
- $673,810
- Total expenses
- $9,166,771
- Net increase / (decrease)
- $0
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Blue Cross Bs Healthcare Of Ga | NONE | $688,889 | not reported in the loaded dataset |
| Ap Benefit Advisors LLC | NONE | $0 | $94,293 |