2023 Form 5500 filing — Blish-Mize Co. Employee Benefit Plan (Health)
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 20240730151312NAL0011971043001) for Blish-Mize Co. Employee Benefit Plan (Health), reported by Blish-Mize Co. under EIN 48-0142410 and plan number 501. It reports 102 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240730151312NAL0011971043001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Blish-Mize Co.
- EIN
- 48-0142410
- Plan number
- 501
- Location
- Atchison, KS
- Participants
- 102
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $404,803
- Total liabilities (EOY)
- $108,000
- Net assets (EOY)
- $296,803
- Employer contributions
- $1,308,815
- Participant contributions
- $206,922
- Total income / additions
- $1,686,409
- Benefits paid
- $1,614,356
- Administrative expenses
- $28,080
- Total expenses
- $1,642,436
- Net increase / (decrease)
- $43,973
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Allied Benefit Systems, LLC | NONE | $34,823 | not reported in the loaded dataset |
| Forvis, Llp | NONE | $26,560 | not reported in the loaded dataset |
| Aetna Life Insurance Company | NONE | $18,495 | not reported in the loaded dataset |