2023 Form 5500 filing — Pueblo Community Health Center, Inc. Employer Contribution 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 20241014094815NAL0044043360001) for Pueblo Community Health Center, Inc. Employer Contribution Plan, reported by Pueblo Community Health Center, Inc. under EIN 84-0921521 and plan number 001. It reports 430 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241014094815NAL0044043360001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Pueblo Community Health Center, Inc.
- EIN
- 84-0921521
- Plan number
- 001
- Location
- Pueblo, CO
- Participants
- 430
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $25,164,438
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $25,164,438
- Employer contributions
- $891,451
- Participant contributions
- $1,148,298
- Total income / additions
- $6,282,874
- Benefits paid
- $2,642,412
- Administrative expenses
- $34,320
- Total expenses
- $2,685,523
- Net increase / (decrease)
- $3,597,351
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Tiaa-Teachers Insurance And Annuity | RECORDKEEPER | $34,863 | $0 |