2023 Form 5500 filing — Evergreen Oilfield Solutions, LLC Employee Benefit Plan (501)
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 20240715074759NAL0002027616001) for Evergreen Oilfield Solutions, LLC Employee Benefit Plan (501), reported by Evergreen Oilfield Solutions, LLC under EIN 90-0920357 and plan number 501. It reports 39 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240715074759NAL0002027616001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Evergreen Oilfield Solutions, LLC
- EIN
- 90-0920357
- Plan number
- 501
- Location
- Wyalusing, PA
- Participants
- 39
- Schedules available
- Schedule I, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $90,818
- Total liabilities (EOY)
- $320,560
- Net assets (EOY)
- -$229,742
- Employer contributions
- $397,982
- Participant contributions
- $246,078
- Total income / additions
- $645,139
- Benefits paid
- $622,639
- Administrative expenses
- $160
- Total expenses
- $864,554
- Net increase / (decrease)
- -$219,415
- Schedule source
- Schedule I
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Cummings Insurance Agency | BROKER | $16,877 | not reported in the loaded dataset |
| The Benecon Group LLC | BROKER | $14,712 | not reported in the loaded dataset |
| Connectcare3 LLC | PATIENT ADVOCATE | $3,149 | not reported in the loaded dataset |
| Highmark Bcbs Nepa | ADMIN | $160 | not reported in the loaded dataset |