Southern Mill, Inc. Health And Dental Benefits Plan — Form 5500 plan (Southern Mills, Inc. Tencate Protective Fabrics)

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, Southern Mill, Inc. Health And Dental Benefits Plan is a benefit plan reported by Southern Mills, Inc. Tencate Protective Fabrics under EIN 58-0439110 and plan number 501. The latest loaded filing year is 2023. The filing reports 556 participants and $579,920 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Southern Mills, Inc. Tencate Protective Fabrics
EIN
58-0439110
Plan number
501
Plan type
2
Location
Union City, GA
Latest filing year
2023
Participants
556
End-of-year plan assets
$579,920

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023556H, C20241015082810NAL0056625538003

Reported financial statement (2023 · Schedule H)

Net assets

Total assets (EOY)
$579,920
Total liabilities (EOY)
$579,920
Net assets (EOY)
$0
Net assets (BOY)
$0

Income & contributions

Employer contributions
$3,710,414
Participant contributions
$2,025,803
Total contributions
$5,736,217
Total income / additions
$5,736,217

Expenses & distributions

Benefits paid
$5,423,175
Administrative expenses
$313,042
Total expenses
$5,736,217
Net increase / (decrease)
$0

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
United Healthcare Services Inc.CLAIMS PROCESSOR$328,320$02023
United Healthcare Services Inc.CLAIMS PROCESSOR$6,282not reported in the loaded dataset2023

Related Form 5500 pages