2023 Form 5500 filing — Paws Of Jackson Hole Self Funded Medical Reimbursement 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 20241126121507NAL0009530800002) for Paws Of Jackson Hole Self Funded Medical Reimbursement Plan, reported by Paws Of Jackson Hole under EIN 83-0326768 and plan number 502. It reports 10 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials).
- EFAST2 acknowledgement
- 20241126121507NAL0009530800002
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Paws Of Jackson Hole
- EIN
- 83-0326768
- Plan number
- 502
- Location
- Jackson, WY
- Participants
- 10
- Schedules available
- Schedule I
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $10,518
- Total liabilities (EOY)
- $261
- Net assets (EOY)
- $10,257
- Employer contributions
- $26,667
- Participant contributions
- $8,311
- Total income / additions
- $35,438
- Benefits paid
- $12,817
- Administrative expenses
- $12,364
- Total expenses
- $25,181
- Net increase / (decrease)
- $10,257
- Schedule source
- Schedule I