2023 Form 5500 filing — Community Health Service Agency 403(B) 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 20241002130003NAL0008288225001) for Community Health Service Agency 403(B) Plan, reported by Community Health Service Agency under EIN 75-1528614 and plan number 001. It reports 183 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241002130003NAL0008288225001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Community Health Service Agency
- EIN
- 75-1528614
- Plan number
- 001
- Location
- Greenville, TX
- Participants
- 183
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $2,809,253
- Net assets (EOY)
- $2,809,253
- Employer contributions
- $87,841
- Participant contributions
- $214,246
- Total income / additions
- $675,627
- Benefits paid
- $377,076
- Administrative expenses
- $12,913
- Total expenses
- $389,989
- Net increase / (decrease)
- $285,638
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Empower Annuity Insurance Company | RECORDKEEPER | $12,963 | $0 |
| Mmlis | BROKER/ADVISER | $0 | $12,042 |