2023 Form 5500 filing — Staplcotn 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 20250417163348NAL0002143088001) for Staplcotn Medical Plan, reported by Staple Cotton Cooperative Association under EIN 64-0247150 and plan number 502. It reports 152 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250417163348NAL0002143088001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Staple Cotton Cooperative Association
- EIN
- 64-0247150
- Plan number
- 502
- Location
- Greenwood, MS
- Participants
- 152
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $1,064,596
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $1,064,596
- Employer contributions
- $948,157
- Participant contributions
- $600,817
- Total income / additions
- $1,599,908
- Benefits paid
- $1,585,699
- Administrative expenses
- $104,698
- Total expenses
- $1,690,397
- Net increase / (decrease)
- -$90,489
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Blue Cross & Blue Shield Of Ms | NONE | $87,764 | not reported in the loaded dataset |
| Sayle, Sandifer, & Johnson, Llp | NONE | $15,000 | not reported in the loaded dataset |