2023 Form 5500 filing — Thomas 5 Ltd. LLC Employee Health & Welfare Benefit 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 20250702110742NAL0007257187001) for Thomas 5 Ltd. LLC Employee Health & Welfare Benefit Plan, reported by Thomas 5 Ltd. LLC under EIN 20-0021258 and plan number 502. It reports 155 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)$60.2KReported net assets$60,155
Participants155
Provider compensation$196.1K4 Schedule C row(s)$196,078
Schedules filedSchedule H, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20250702110742NAL0007257187001
- Plan sponsor
- Thomas 5 Ltd. LLC
- EIN
- 20-0021258
- Plan number
- 502
- Location
- Dublin, OH
- Received date
- not reported in the loaded dataset
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)$354.1K total assets
Net assets$60.2KLiabilities$293.9K
Full reported line items
- Total assets (EOY)
- $354,105
- Total liabilities (EOY)
- $293,950
- Net assets (EOY)
- $60,155
- Employer contributions
- $1,744,330
- Participant contributions
- $329,520
- Total income / additions
- $2,073,850
- Benefits paid
- $1,831,959
- Administrative expenses
- $195,965
- Total expenses
- $2,027,924
- Net increase / (decrease)
- $45,926
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Business Administrators & Cons. Inc | CONTRACT ADMINISTRATOR | $108,857 | not reported in the loaded dataset |
| Emerald Financial Services | INSURANCE AGENT | $43,700 | not reported in the loaded dataset |
| Cigna Health & Life Insurance | NETWORK PROVIDER | $38,371 | not reported in the loaded dataset |
| Co & Co Tax And Accounting Services | AUDITOR | $5,150 | not reported in the loaded dataset |