Marietta Country Club, Inc. Group Medical Plan (502) — Form 5500 plan (Marietta Country Club, Inc.)

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, Marietta Country Club, Inc. Group Medical Plan (502) is a benefit plan reported by Marietta Country Club, Inc. under EIN 58-0336450 and plan number 502. The latest loaded filing year is 2023. The filing reports 65 participants and $23,101 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Marietta Country Club, Inc.
EIN
58-0336450
Plan number
502
Plan type
2
Location
Kennesaw, GA
Latest filing year
2023
Participants
65
End-of-year plan assets
$23,101

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
202365I, C20250122083502NAL0007334768001

Reported financial statement (2023 · Schedule I)

Net assets

Total assets (EOY)
$23,101
Total liabilities (EOY)
$35,764
Net assets (EOY)
-$12,663
Net assets (BOY)
$0

Income & contributions

Employer contributions
$409,740
Participant contributions
$175,141
Total income / additions
$585,825

Expenses & distributions

Benefits paid
$323,191
Administrative expenses
$2,691
Total expenses
$598,488
Net increase / (decrease)
-$12,663

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Capstone Hire Benefits Consulting LBROKER$30,160not reported in the loaded dataset2023
The Benecon GroupBROKER$14,590not reported in the loaded dataset2023
Connectcare3PATIENT ADVOCATE$4,117not reported in the loaded dataset2023
Meritain Health, An Aetna CompanyADMIN$2,691not reported in the loaded dataset2023

Related Form 5500 pages