Holdrege Family Vision Clinic Pc Self Funded Medical Reimbursement Plan — Form 5500 plan (Holdrege Family Vision Clinic Pc)
Plain-English plan 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, Holdrege Family Vision Clinic Pc Self Funded Medical Reimbursement Plan is a benefit plan reported by Holdrege Family Vision Clinic Pc under EIN 47-0616654 and plan number 501. The latest loaded filing year is 2023. The filing reports 5 participants and $13,766 in end-of-year plan assets, where available in the loaded dataset.
Key reported metrics
- Plan sponsor
- Holdrege Family Vision Clinic Pc
- EIN
- 47-0616654
- Plan number
- 501
- Plan type
- 2
- Location
- Holdrege, NE
- Latest filing year
- 2023
- Participants
- 5
- End-of-year plan assets
- $13,766
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 5 | I | 20241226114505NAL0007695715001 |
Reported financial statement (2023 · Schedule I)
Net assets
- Total assets (EOY)
- $13,766
- Total liabilities (EOY)
- $896
- Net assets (EOY)
- $12,870
- Net assets (BOY)
- $0
Income & contributions
- Employer contributions
- $21,674
- Total income / additions
- $22,043
Expenses & distributions
- Benefits paid
- $2,584
- Administrative expenses
- $6,589
- Total expenses
- $9,173
- Net increase / (decrease)
- $12,870
Service provider compensation (Schedule C)
No Schedule C service provider compensation is loaded for this plan yet.