2023 Form 5500 filing — Mountain States Oral & Facial Surgery 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 20241022160629NAL0001951571001) for Mountain States Oral & Facial Surgery 401(K) Plan, reported by Drs. Krajekian, Brock, Henderson & Di Prisco, Inc. under EIN 55-0767614 and plan number 002. It reports 173 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
Form 5500 2 · 2023
Filing snapshot
Net assets (EOY)$4.1MReported net assets$4,111,227
Participants173
Provider compensation$2.5K2 Schedule C row(s)$2,501
Schedules filedSchedule H, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20241022160629NAL0001951571001
- Plan sponsor
- Drs. Krajekian, Brock, Henderson & Di Prisco, Inc.
- EIN
- 55-0767614
- Plan number
- 002
- Location
- Hurricane, WV
- Received date
- not reported in the loaded dataset
How to read this filing
- This is a single annual Form 5500 filing, identified by its EFAST2 acknowledgement id.
- Schedule chips (Sch H / I / C) show which schedules this filing includes.
- Net assets = total assets minus total liabilities (Schedule H/I).
- Fields a filing did not report are labeled not reported in the loaded dataset — never estimated.
- For the plan's full history, open the plan profile.
Schedule H · 2023
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
Reported balance (end of year)$4.1M total assets
Net assets$4.1MLiabilities$37.8K
Full reported line items
- Total assets (EOY)
- $4,149,000
- Total liabilities (EOY)
- $37,773
- Net assets (EOY)
- $4,111,227
- Employer contributions
- $164,024
- Participant contributions
- $275,525
- Total income / additions
- $1,112,392
- Benefits paid
- $102,976
- Administrative expenses
- $41,439
- Total expenses
- $144,415
- Net increase / (decrease)
- $967,977
Schedule C
Reported service provider compensation
Compensation reported on the 2023 filing, ranked by reported total.
- 1
- 2
Frequently asked questions
- What does EFAST2 acknowledgement 20241022160629NAL0001951571001 cover?
- It is the 2023 Form 5500 filing for Mountain States Oral & Facial Surgery 401(K) Plan, reported by Drs. Krajekian, Brock, Henderson & Di Prisco, Inc. (EIN 55-0767614).
- Which Form 5500 schedules are attached to this 2023 filing?
- Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).