2023 Form 5500 filing — San Francisco Madeleine, Inc. Dba Cafe Madeleine Health And Welfare 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 20240722063447NAL0021005058001) for San Francisco Madeleine, Inc. Dba Cafe Madeleine Health And Welfare Plan, reported by San Francisco Madeleine, Inc. Dba Cafe Madeleine under EIN 01-0558002 and plan number 505. It reports 45 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials).

Form 5500 2 · 2023

Filing snapshot

Net assets (EOY)$60KReported net assets$60,043
Participants45
Provider compensationNone reported
Schedules filedSchedule ILoaded schedules
EFAST2 acknowledgement
20240722063447NAL0021005058001
Plan sponsor
San Francisco Madeleine, Inc. Dba Cafe Madeleine
EIN
01-0558002
Plan number
505
Location
San Francisco, CA
Received date
not reported in the loaded dataset
How to read this filing
  • This is a single annual Form 5500 filing, identified by its EFAST2 acknowledgement id.
  • Schedule chips (Sch H / I / C) show which schedules this filing includes.
  • Net assets = total assets minus total liabilities (Schedule H/I).
  • Fields a filing did not report are labeled not reported in the loaded dataset — never estimated.
  • For the plan's full history, open the plan profile.
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)$60K total assets
Net assets$60KLiabilities
Money in vs. money out
Total income / additions$0
Total expenses$4.9K
Benefits paid / distributions$611
Contributions
Employer$0
ParticipantNot reported
Full reported line items
Total assets (EOY)
$60,043
Net assets (EOY)
$60,043
Employer contributions
$0
Total income / additions
$0
Benefits paid
$611
Administrative expenses
$4,258
Total expenses
$4,869
Net increase / (decrease)
-$4,869

What to inspect next

Frequently asked questions

What does EFAST2 acknowledgement 20240722063447NAL0021005058001 cover?
It is the 2023 Form 5500 filing for San Francisco Madeleine, Inc. Dba Cafe Madeleine Health And Welfare Plan, reported by San Francisco Madeleine, Inc. Dba Cafe Madeleine (EIN 01-0558002).
Which Form 5500 schedules are attached to this 2023 filing?
Attached schedules in the loaded dataset include Schedule I (small plan financials).

Related Form 5500 pages