2023 Form 5500 filing — Fullerton Tool Company, Inc. Health Benefit 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 20240805141505NAL0002829762001) for Fullerton Tool Company, Inc. Health Benefit Plan, reported by Fullerton Tool Company, Inc. under EIN 38-1288328 and plan number 501. It reports 179 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).

Form 5500 2 · 2023

Filing snapshot

Net assets (EOY)Not reported
Participants179
Provider compensation$251.6K3 Schedule C row(s)$251,595
Schedules filedSchedule CLoaded schedules
EFAST2 acknowledgement
20240805141505NAL0002829762001
Plan sponsor
Fullerton Tool Company, Inc.
EIN
38-1288328
Plan number
501
Location
Saginaw, MI
Received date
not reported in the loaded dataset
2023

Reported financial snapshot

Reported figures as filed, in whole dollars. Only fields the filing reports are shown.

This 2023 filing is loaded, but detailed Schedule H/I financial figures are not present for it in the current loaded dataset. Participant counts and filing identity above are reported; asset and contribution detail comes from the financial schedules where filed.

Reported service provider compensation (Schedule C)

Compensation reported on the 2023 filing
ProviderServiceDirect comp.Indirect comp.
Blue Cross Blue Shield Of MichiganTPA$200,236$0
Robert J Dotson JrAGENT$32,724not reported in the loaded dataset
Saginaw Bay UnderwritersBROKER$18,635not reported in the loaded dataset

Related Form 5500 pages