2023 Form 5500 filing — Clippard Instrument Laboratory, Inc. Health Care 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 20240827161506NAL0023632306001) for Clippard Instrument Laboratory, Inc. Health Care Plan, reported by Clippard Instrument Laboratory,Inc under EIN 31-0509028 and plan number 501. It reports 164 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240827161506NAL0023632306001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Clippard Instrument Laboratory,Inc
- EIN
- 31-0509028
- Plan number
- 501
- Location
- Cincinnati, OH
- Participants
- 164
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $322,217
- Net assets (EOY)
- $322,217
- Employer contributions
- $1,761,445
- Participant contributions
- $649,025
- Total income / additions
- $2,550,719
- Benefits paid
- $2,437,880
- Administrative expenses
- $145,941
- Total expenses
- $2,583,821
- Net increase / (decrease)
- -$33,102
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Custom Design Benefits, Inc. | CONTRACT ADMINISTRATION | $145,941 | not reported in the loaded dataset |