2023 Form 5500 filing — Clean Slate Centers 401(K) 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 20241015124015NAL0047945344001) for Clean Slate Centers 401(K) Plan, reported by Clean Slate Centers, Inc. under EIN 46-4372716 and plan number 001. It reports 908 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241015124015NAL0047945344001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Clean Slate Centers, Inc.
- EIN
- 46-4372716
- Plan number
- 001
- Location
- Brentwood, TN
- Participants
- 908
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $19,699,580
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $19,699,580
- Employer contributions
- $652,333
- Participant contributions
- $3,341,408
- Total income / additions
- $7,169,821
- Benefits paid
- $2,400,943
- Administrative expenses
- $93,022
- Total expenses
- $2,502,629
- Net increase / (decrease)
- $4,667,192
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| John Hancock Life Ins Co | RETAINED BY EMPLOYER | $62,947 | $0 |
| Mma | RETAINED BY EMPLOYER | $29,067 | not reported in the loaded dataset |