2023 Form 5500 filing — Pds Veba Trust Group Insurance Arrangement For Affiliate Employers
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 20241009170705NAL0038526306001) for Pds Veba Trust Group Insurance Arrangement For Affiliate Employers, reported by Pacific Dental Services, LLC under EIN 33-0681491 and plan number 503. It reports 2,131 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials).
Form 5500 3 · 2023
Filing snapshot
Net assets (EOY)$2.3KReported net assets$2,251
Participants2.1K2,131
Provider compensationNone reported
Schedules filedSchedule HLoaded schedules
- EFAST2 acknowledgement
- 20241009170705NAL0038526306001
- Plan sponsor
- Pacific Dental Services, LLC
- EIN
- 33-0681491
- Plan number
- 503
- Location
- Irvine, CA
- Received date
- not reported in the loaded dataset
Schedule H · 2023
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
Reported balance (end of year)$2.3K total assets
Net assets$2.3KLiabilities—
Full reported line items
- Total assets (EOY)
- $2,251
- Net assets (EOY)
- $2,251
- Employer contributions
- $15,112,727
- Participant contributions
- $5,714,652
- Total income / additions
- $20,829,176
- Benefits paid
- $20,827,284
- Total expenses
- $20,827,284
- Net increase / (decrease)
- $1,892