2023 Form 5500 filing — Kewa Pueblo Health Corporation 401(K) Profit Sharing 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 20241014142618NAL0015100691001) for Kewa Pueblo Health Corporation 401(K) Profit Sharing Plan, reported by Kewa Pueblo Health Corporation under EIN 27-5303526 and plan number 001. It reports 223 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241014142618NAL0015100691001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Kewa Pueblo Health Corporation
- EIN
- 27-5303526
- Plan number
- 001
- Location
- Santo Domingo Pueblo, NM
- Participants
- 223
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $6,059,388
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $6,059,388
- Employer contributions
- $476,526
- Participant contributions
- $786,113
- Total income / additions
- $2,392,892
- Benefits paid
- $1,049,434
- Administrative expenses
- $53,778
- Total expenses
- $1,103,212
- Net increase / (decrease)
- $1,289,680
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Principal Life Insurance Company | CONTRACT ADMINISTRATOR | $53,779 | $0 |
| Sagepoint Financial | OTHER SERVICE S | $0 | $18,356 |