2023 Form 5500 filing — Jefferson Community Health Center Inc. Tax Deferred Annuity 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 20240726100923NAL0015792865001) for Jefferson Community Health Center Inc. Tax Deferred Annuity Plan, reported by Jefferson Community Health Center Inc. under EIN 47-0468078 and plan number 007. It reports 285 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240726100923NAL0015792865001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Jefferson Community Health Center Inc.
- EIN
- 47-0468078
- Plan number
- 007
- Location
- Fairbury, NE
- Participants
- 285
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $11,811,583
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $11,811,583
- Employer contributions
- $0
- Participant contributions
- $945,141
- Total income / additions
- $2,708,660
- Benefits paid
- $361,756
- Administrative expenses
- $0
- Total expenses
- $361,756
- Net increase / (decrease)
- $2,346,904
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| American United Life Insurance Co | NONE | $0 | $20,272 |