2023 Form 5500 filing — Meadowbrook Nursing Home 401(K) 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 20241010124409NAL0009992195001) for Meadowbrook Nursing Home 401(K) Plan, reported by Cgsr, Inc. Dba Meadowbrook Healthcare under EIN 06-1363442 and plan number 001. It reports 323 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241010124409NAL0009992195001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Cgsr, Inc. Dba Meadowbrook Healthcare
- EIN
- 06-1363442
- Plan number
- 001
- Location
- Plattsburgh, NY
- Participants
- 323
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $14,550,532
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $14,550,532
- Employer contributions
- $101,678
- Participant contributions
- $665,354
- Total income / additions
- $2,763,100
- Benefits paid
- $988,148
- Administrative expenses
- $38,946
- Total expenses
- $1,027,094
- Net increase / (decrease)
- $1,736,006
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Raymond James | SERVICE PROVIDER | $25,223 | not reported in the loaded dataset |
| National Pension | TPA | $0 | $1,602 |
| Voya Retirement Insurance & Annuity | SERVICE PROVIDER | $0 | $0 |