2023 Form 5500 filing — Petree And Seibert Family Dentistry, P.C. 401(K) Plan

Plain-English filing 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, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20240613102721NAL0030377009001) for Petree And Seibert Family Dentistry, P.C. 401(K) Plan, reported by Petree And Seibert Family Dentistry, P.C. under EIN 58-2215233 and plan number 001. It reports 18 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials).

Form 5500 2 · 2023

Filing snapshot

Net assets (EOY)$4.7MReported net assets$4,658,560
Participants18
Provider compensationNone reported
Schedules filedSchedule ILoaded schedules
EFAST2 acknowledgement
20240613102721NAL0030377009001
Plan sponsor
Petree And Seibert Family Dentistry, P.C.
EIN
58-2215233
Plan number
001
Location
Winder, GA
Received date
not reported in the loaded dataset
Schedule I · 2023

Reported financial snapshot

Reported figures as filed, in whole dollars. Only fields the filing reports are shown.

Reported balance (end of year)$4.7M total assets
Net assets$4.7MLiabilities$0
Money in vs. money out
Total income / additions$877K
Total expenses$14.6K
Benefits paid / distributions$14.5K
Contributions
Employer$36.7K
Participant$126.1K
Full reported line items
Total assets (EOY)
$4,658,560
Total liabilities (EOY)
$0
Net assets (EOY)
$4,658,560
Employer contributions
$36,700
Participant contributions
$126,095
Total income / additions
$877,034
Benefits paid
$14,492
Administrative expenses
$100
Total expenses
$14,592
Net increase / (decrease)
$862,442

Related Form 5500 pages