2023 Form 5500 filing — Spooky Nook Sports, Inc. Group Medical 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 20250109093456NAL0012446593001) for Spooky Nook Sports, Inc. Group Medical Plan, reported by Spooky Nook Sports, Inc. under EIN 45-4847699 and plan number 502. It reports 104 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250109093456NAL0012446593001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Spooky Nook Sports, Inc.
- EIN
- 45-4847699
- Plan number
- 502
- Location
- Manheim, PA
- Participants
- 104
- Schedules available
- Schedule I, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $23,336
- Total liabilities (EOY)
- $93,725
- Net assets (EOY)
- -$70,389
- Employer contributions
- $1,014,047
- Participant contributions
- $131,461
- Total income / additions
- $1,148,487
- Benefits paid
- $659,659
- Administrative expenses
- $3,215
- Total expenses
- $1,250,169
- Net increase / (decrease)
- -$101,682
- Schedule source
- Schedule I
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Assured Partners (Central Pa) | BROKER | $46,152 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $24,809 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $7,000 | not reported in the loaded dataset |
| Highmark Blue Shield (Central) | ADMIN | $3,215 | not reported in the loaded dataset |