2023 Form 5500 filing — Nicholas H. Noyes Tax Sheltered Savings 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 20241011121400NAL0012467443001) for Nicholas H. Noyes Tax Sheltered Savings Plan, reported by Nicholas H. Noyes Memorial Hospital under EIN 16-0743979 and plan number 002. It reports 732 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241011121400NAL0012467443001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Nicholas H. Noyes Memorial Hospital
- EIN
- 16-0743979
- Plan number
- 002
- Location
- Dansville, NY
- Participants
- 732
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $33,007,423
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $33,007,423
- Employer contributions
- $687,370
- Participant contributions
- $1,740,674
- Total income / additions
- $6,626,597
- Benefits paid
- $3,102,768
- Administrative expenses
- $66,707
- Total expenses
- $3,169,475
- Net increase / (decrease)
- $3,457,122
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Lincoln National Corporation | SERVICE PROVIDER | $48,281 | $0 |
| Healthcare Community Securities | SERVICE PROVIDER | $19,409 | not reported in the loaded dataset |