2023 Form 5500 filing — Blattner Holding Company Health Reimbursement Arrangement
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 20240715164705NAL0002053185001) for Blattner Holding Company Health Reimbursement Arrangement, reported by Blattner Holding Company under EIN 20-5347195 and plan number 504. It reports 223 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240715164705NAL0002053185001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Blattner Holding Company
- EIN
- 20-5347195
- Plan number
- 504
- Location
- Avon, MN
- Participants
- 223
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $38,779
- Total liabilities (EOY)
- $1,017
- Net assets (EOY)
- $37,762
- Benefits paid
- $253
- Administrative expenses
- $16,663
- Total expenses
- $16,916
- Net increase / (decrease)
- -$16,916
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Formula Corporation | PROCESSING PAYMENTS | $16,664 | $0 |