Paws Of Jackson Hole Self Funded Medical Reimbursement Plan — Form 5500 plan (Paws Of Jackson Hole)

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, Paws Of Jackson Hole Self Funded Medical Reimbursement Plan is a benefit plan reported by Paws Of Jackson Hole under EIN 83-0326768 and plan number 502. The latest loaded filing year is 2023. The filing reports 10 participants and $10,518 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Paws Of Jackson Hole
EIN
83-0326768
Plan number
502
Plan type
2
Location
Jackson, WY
Latest filing year
2023
Participants
10
End-of-year plan assets
$10,518

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
202310I20241126121507NAL0009530800002

Reported financial statement (2023 · Schedule I)

Net assets

Total assets (EOY)
$10,518
Total liabilities (EOY)
$261
Net assets (EOY)
$10,257
Net assets (BOY)
$0

Income & contributions

Employer contributions
$26,667
Participant contributions
$8,311
Total income / additions
$35,438

Expenses & distributions

Benefits paid
$12,817
Administrative expenses
$12,364
Total expenses
$25,181
Net increase / (decrease)
$10,257

Service provider compensation (Schedule C)

No Schedule C service provider compensation is loaded for this plan yet.

Related Form 5500 pages