2023 Form 5500 filing — Hackley Community Care Center Group Benefits 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 20240703103508NAL0006265185005) for Hackley Community Care Center Group Benefits Plan, reported by Hackley Community Care Center Inc under EIN 38-3014011 and plan number 501. It reports 268 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
Filing snapshot
- EFAST2 acknowledgement
- 20240703103508NAL0006265185005
- Plan sponsor
- Hackley Community Care Center Inc
- EIN
- 38-3014011
- Plan number
- 501
- Location
- Muskegon, MI
- Received date
- not reported in the loaded dataset
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
This 2023 filing is loaded, but detailed Schedule H/I financial figures are not present for it in the current loaded dataset. Participant counts and filing identity above are reported; asset and contribution detail comes from the financial schedules where filed.
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Roxanna Dieterle | INSURANCE AGENT | $41,640 | not reported in the loaded dataset |
| Gallagher Benefit Services Inc | BROKER | $32,117 | not reported in the loaded dataset |
| Douglas Derks | INSURANCE AGENT | $25,817 | not reported in the loaded dataset |
| Blue Cross And Blue Shield Of Mi | TPA | $14,860 | $0 |