Evansville Auto, LLC Self Funded Medical Reimbursement Plan — Form 5500 plan (Evansville Auto, LLC)
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, Evansville Auto, LLC Self Funded Medical Reimbursement Plan is a benefit plan reported by Evansville Auto, LLC under EIN 87-1689451 and plan number 501. The latest loaded filing year is 2023. The filing reports 11 participants and $16,537 in end-of-year plan assets, where available in the loaded dataset.
Key reported metrics
- Plan sponsor
- Evansville Auto, LLC
- EIN
- 87-1689451
- Plan number
- 501
- Plan type
- 2
- Location
- Evansville, WI
- Latest filing year
- 2023
- Participants
- 11
- End-of-year plan assets
- $16,537
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 11 | I | 20250610144506NAL0011673795001 |
Reported financial statement (2023 · Schedule I)
Net assets
- Total assets (EOY)
- $16,537
- Net assets (EOY)
- $16,537
- Net assets (BOY)
- $8,866
Income & contributions
- Participant contributions
- $33,566
- Total income / additions
- $34,258
Expenses & distributions
- Benefits paid
- $16,635
- Administrative expenses
- $9,952
- Total expenses
- $26,587
- Net increase / (decrease)
- $7,671
Service provider compensation (Schedule C)
No Schedule C service provider compensation is loaded for this plan yet.