2023 Form 5500 filing — Signature Custom Cabinetry'S Group Medical 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 20240730104446NAL0013286883001) for Signature Custom Cabinetry'S Group Medical Plan, reported by Signature Custom Cabinetry, Inc. under EIN 23-2644244 and plan number 502. It reports 108 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
Form 5500 2 · 2023
Filing snapshot
Net assets (EOY)-$58.6KReported net assets-$58,579
Participants108
Provider compensation$81.9K4 Schedule C row(s)$81,854
Schedules filedSchedule H, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20240730104446NAL0013286883001
- Plan sponsor
- Signature Custom Cabinetry, Inc.
- EIN
- 23-2644244
- Plan number
- 502
- Location
- Ephrata, PA
- Received date
- not reported in the loaded dataset
Schedule H · 2023
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
Reported balance (end of year)$143.6K total assets
Net assets-$58.6KLiabilities$202.2K
Full reported line items
- Total assets (EOY)
- $143,648
- Total liabilities (EOY)
- $202,227
- Net assets (EOY)
- -$58,579
- Employer contributions
- $1,883,411
- Participant contributions
- $256,049
- Total income / additions
- $2,145,887
- Benefits paid
- $1,902,966
- Administrative expenses
- $81,854
- Total expenses
- $1,984,820
- Net increase / (decrease)
- $161,067
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Engle-Hambright & Davies, Inc. (Ehd | BROKER | $45,106 | not reported in the loaded dataset |
| The Benecon Group, LLC | BROKER | $19,638 | not reported in the loaded dataset |
| Capital Bluecross | ADMIN | $10,296 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $6,814 | not reported in the loaded dataset |