2023 Form 5500 filing — Fcc Commercial Furniture, Inc Group Health Insurance
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 20250630180007NAL0012108961001) for Fcc Commercial Furniture, Inc Group Health Insurance, reported by Fcc Commercial Furniture, Inc. under EIN 93-1097012 and plan number 504. It reports 201 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250630180007NAL0012108961001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Fcc Commercial Furniture, Inc.
- EIN
- 93-1097012
- Plan number
- 504
- Location
- Roseburg, OR
- Participants
- 201
- Schedules available
- Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
This 2023 filing is loaded, but detailed Schedule H/I financial figures are not present for it in the current loaded dataset. Participant counts and filing identity above are reported; asset and contribution detail comes from the financial schedules where filed.
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Pacificsource Health Plans | CLAIMS & ADMINISTRATION | $78,301 | not reported in the loaded dataset |
| Wha-Kim Nicholsen | INSURANCE BROKER | $8,497 | not reported in the loaded dataset |