2023 Form 5500 filing — Apicha Community Health Center 403(B) Retirement 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 20241014093906NAL0013072195001) for Apicha Community Health Center 403(B) Retirement Savings Plan, reported by Apicha Community Health Center under EIN 13-3706365 and plan number 001. It reports 133 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
Form 5500 2 · 2023
Filing snapshot
Net assets (EOY)$4.1MReported net assets$4,107,808
Participants133
Provider compensation$25.5K2 Schedule C row(s)$25,497
Schedules filedSchedule H, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20241014093906NAL0013072195001
- Plan sponsor
- Apicha Community Health Center
- EIN
- 13-3706365
- Plan number
- 001
- Location
- New York, NY
- 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)$4.1M total assets
Net assets$4.1MLiabilities$0
Full reported line items
- Total assets (EOY)
- $4,107,808
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $4,107,808
- Employer contributions
- $199,115
- Participant contributions
- $368,627
- Total income / additions
- $1,106,191
- Benefits paid
- $95,884
- Administrative expenses
- $21,472
- Total expenses
- $117,356
- Net increase / (decrease)
- $988,835
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Principal Life Insurance Company | CONTRACT ADMINISTRATOR | $20,102 | $0 |
| Raymond James Financial Svc Adv | INVESTMENT ADVISORY | $0 | $5,395 |