2023 Form 5500 filing — Penobscot Community Health Center 403(B) 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 20241014181302NAL0028063121007) for Penobscot Community Health Center 403(B) Plan, reported by Penobscot Community Health Center under EIN 01-0514750 and plan number 002. It reports 917 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241014181302NAL0028063121007
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Penobscot Community Health Center
- EIN
- 01-0514750
- Plan number
- 002
- Location
- Bangor, ME
- Participants
- 917
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $35,916,028
- Total liabilities (EOY)
- $2,130
- Net assets (EOY)
- $35,913,898
- Employer contributions
- $785,862
- Participant contributions
- $3,754,247
- Total income / additions
- $9,933,684
- Benefits paid
- $2,702,261
- Administrative expenses
- $194,527
- Total expenses
- $2,915,379
- Net increase / (decrease)
- $7,018,305
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Principal Life Insurance Company | CONTRACT ADMINISTRATOR | $194,527 | $0 |
| Valmark Advisers | INVESTMENT ADVISORY | $0 | $52,500 |
| Nbt Bank, N.A. | OTHER SERVICES | $0 | $14,674 |