2023 Form 5500 filing — North Country Transitional Living Services Welfare Benefit 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 20241014175217NAL0045555760001) for North Country Transitional Living Services Welfare Benefit Plan, reported by North Country Transitional Living Services, Inc. under EIN 16-1104065 and plan number 501. It reports 64 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).
Form 5500 2 · 2023
Filing snapshot
Net assets (EOY)$292.7KReported net assets$292,660
Participants64
Provider compensation$38.2K2 Schedule C row(s)$38,159
Schedules filedSchedule I, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20241014175217NAL0045555760001
- Plan sponsor
- North Country Transitional Living Services, Inc.
- EIN
- 16-1104065
- Plan number
- 501
- Location
- Watertown, NY
- Received date
- not reported in the loaded dataset
Schedule I · 2023
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
Reported balance (end of year)$295.1K total assets
Net assets$292.7KLiabilities$2.5K
Full reported line items
- Total assets (EOY)
- $295,113
- Total liabilities (EOY)
- $2,453
- Net assets (EOY)
- $292,660
- Employer contributions
- $142,322
- Participant contributions
- $0
- Total income / additions
- $142,717
- Benefits paid
- -$510,552
- Total expenses
- -$423,143
- Net increase / (decrease)
- $565,860
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| The Benecon Group | BROKER | $36,461 | not reported in the loaded dataset |
| Encompass Benefit Consultants Inc | BROKER | $1,698 | not reported in the loaded dataset |