2023 Form 5500 filing — Seymour Enterprises, Inc. Self Funded Medical Reimbursement 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 20240920124505NAL0007483793001) for Seymour Enterprises, Inc. Self Funded Medical Reimbursement Plan, reported by Seymour Enterprises, Inc. under EIN 58-2051022 and plan number 501. It reports 6 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials).

Form 5500 2 · 2023

Filing snapshot

Net assets (EOY)$17Reported net assets
Participants6
Provider compensationNone reported
Schedules filedSchedule ILoaded schedules
EFAST2 acknowledgement
20240920124505NAL0007483793001
Plan sponsor
Seymour Enterprises, Inc.
EIN
58-2051022
Plan number
501
Location
Commerce, GA
Received date
not reported in the loaded dataset
How to read this filing
  • This is a single annual Form 5500 filing, identified by its EFAST2 acknowledgement id.
  • Schedule chips (Sch H / I / C) show which schedules this filing includes.
  • Net assets = total assets minus total liabilities (Schedule H/I).
  • Fields a filing did not report are labeled not reported in the loaded dataset — never estimated.
  • For the plan's full history, open the plan profile.
Schedule I · 2023

Reported financial snapshot

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

Reported balance (end of year)$17 total assets
Net assets$17Liabilities
Money in vs. money out
Total income / additions$28.3K
Total expenses$28.3K
Benefits paid / distributions$19.4K
Contributions
Employer$1.8K
Participant$26.5K
Full reported line items
Total assets (EOY)
$17
Net assets (EOY)
$17
Employer contributions
$1,797
Participant contributions
$26,460
Total income / additions
$28,334
Benefits paid
$19,445
Administrative expenses
$8,872
Total expenses
$28,317
Net increase / (decrease)
$17

What to inspect next

Frequently asked questions

What does EFAST2 acknowledgement 20240920124505NAL0007483793001 cover?
It is the 2023 Form 5500 filing for Seymour Enterprises, Inc. Self Funded Medical Reimbursement Plan, reported by Seymour Enterprises, Inc. (EIN 58-2051022).
Which Form 5500 schedules are attached to this 2023 filing?
Attached schedules in the loaded dataset include Schedule I (small plan financials).

Related Form 5500 pages